Active NPI
Kelli Lynn Ford, CRNA
- Certified Registered Nurse Anesthetist
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 80273
- Practice address
- 1 Medical Park
Wheeling, WV 26003-6379 - Phone
- (304) 234-3343
- NPI assigned
- Jan 19, 2012
- Last updated
- Jan 19, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 80273 | WV | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN500594L | PA |
Addresses
Primary practice location
1 Medical Park
Wheeling, WV 26003-6379
Mailing address
1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 234-3343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.9 of 100
- Quality
- 85.02
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN500594L | PA | MD | Certified Registered Nurse Anesthetist |
| 80273 | WV | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients | |
| Allegheny Clinic | Current | Accepting new patients |
Locations
100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138
1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100
320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba AHN-Primary Care Bethel Park
- Family Medicine Physician
- Bethel Park, PA
- NPI 1073081493
-
dba AHN Primary Care Mobile Clinic
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
dba Allegheny General Anesthesia
- Anesthesiology Physician
- Pittsburgh, PA
- NPI 1558310326
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canonsburg, PA
- NPI 1962401497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1356612592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-234-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-234-3343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KELLI",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-19",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "80273",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN500594L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.