Active NPI
Chrystal Kelley, CRNA
- Certified Registered Nurse Anesthetist
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R863288
- Practice address
- 2301 South Lamar Blvd.
Oxford, MS 38655-6002 - Phone
- (662) 232-8100
- Fax
- (334) 244-1830
- NPI assigned
- Oct 2, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R863288 | MS | Primary |
Addresses
Primary practice location
2301 South Lamar Blvd.
Oxford, MS 38655-6002
Mailing address
P.O. Box 235022
Montgomery, AL 36123-5022
Phone (334) 386-2053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
634 Leigh Dr
Columbus, MS 39705-3014
Phone (866) 362-6963
723 Concordia Ave
Suite 201
Oxford, MS 38655-1991
Phone (662) 377-4394
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Memorial Hospital North Mississippi, Inc | Current | Accepting new patients | |
| Baptist Memorial Hospital North Mississippi, Inc | Current | Accepting new patients | |
| Lifelinc Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Willow Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
634 Leigh Dr
Columbus, MS 39705
Phone (601) 978-3393
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
1100 Belk Blvd
Oxford, MS 38655
Phone (662) 636-1000
2704 West Oxford Loop
Ste 117
Oxford, MS 38655
Phone (662) 550-4299
2301 S Lamar Blvd
Oxford, MS 38655
Phone (662) 232-8369
499 Azalea Dr
Oxford, MS 38655
Phone (662) 234-7979
7600 Airways Blvd
Ste D
Southaven, MS 38671
Phone (662) 349-7477
Interoperability endpoints
- ckelley15537@direct.bmhcc.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1801021464
MS, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- Certified Registered Nurse Anesthetist
- Oxford, MS
- NPI 1205169521
Nurse Anesthetist, Certified Registered
-
- Community/Retail Pharmacy
- Oxford, MS
- NPI 1477108322
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1366535874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 235022",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235022",
"telephone_number": "334-386-2053",
"fax_number": "334-244-1830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 SOUTH LAMAR BLVD.",
"city": "OXFORD",
"state": "MS",
"postal_code": "386556002",
"telephone_number": "662-232-8100",
"fax_number": "334-244-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "CHRYSTAL",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R863288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.