Individual provider Active NPI

Kelly C. McKay

  • Certified Registered Nurse Anesthetist
  • Fayetteville, NC
National Provider Identifier
1376735068
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1634066 Issued in NC
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(706) 577-6404
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1634066 NC Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

34 Capron St
Fort Bragg, NC 28307-2038
Phone (706) 577-6404

Other practice location 1

2587 Hope Mills Rd Ste C
Fayetteville, NC 28306-8684
Phone (706) 577-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181106001723 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254575483 Reassigns benefits to 3 organizations
I20220707003957 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254575483 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3535 S Lafayette St
Suite 200
Englewood, CO 80113-3954
Phone (303) 777-7303

3920 N Union Blvd
Suite 240
Colorado Springs, CO 80907-4920
Phone (719) 227-9711

Merit-based Incentive Payment System (MIPS)

Final score
84.8 of 100Reported as group
Quality
85
Improvement activities
40
Cost
76.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1634066NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Nadora Anesthesia, LLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Tranquil Anesthesiology LLC Anesthesiology CurrentSince Jun 23, 2021 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiology CurrentSince Jun 27, 2022 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Jun 29, 2022 Accepting new patients
Novamed Surgery Center of Colorado Springs LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 26, 2025 Accepting new patients
CPR Anesthesia, Inc Anesthesiology CurrentSince Jan 11, 2025 Accepting new patients
Novamed Surgery Center of Denver LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 26, 2025 Accepting new patients
Epix Anesthesia of Colorado Springs, LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Novamed Surgery Center of Denver LLC Past Accepting new patients
Novamed Surgery Center of Colorado Springs, LLC Past Accepting new patients

Locations

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

715 N Weber St
Ste 100
Colorado Springs, CO 80903
Phone (719) 473-6115

3920 N Union Blvd
Ste 240
Colorado Springs, CO 80907
Phone (719) 227-9711

2940 N Circle Dr
Colorado Springs, CO 80909
Phone (719) 635-7321

5060 S Syracuse St
Denver, CO 80237
Phone (303) 770-1056

55 Madison St
Ste 200
Denver, CO 80206
Phone (303) 388-0599

3535 S Lafayette St
Ste 200
Englewood, CO 80113
Phone (303) 761-5555

1355 Riverside Ave
Ste C
Fort Collins, CO 80524
Phone (970) 449-8488

4397 Ronald Reagan Blvd
Johnstown, CO 80534
Phone (954) 593-6440

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

2207 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-1200

1111 Glynco Pkwy
Ste 300
Brunswick, GA 31525
Phone (912) 262-6552

3243 Glynn Ave
Brunswick, GA 31520
Phone (912) 264-9029

1015 Arthur J Moore Dr
St Simons Island, GA 31522
Phone (912) 634-1993

861189 Reliable Pkwy
Chicago, IL 60686

866755 Reliable Pkwy
Chicago, IL 60686

2041 Valleygate Dr
Ste 101
Fayetteville, NC 28304
Phone (910) 223-7011

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

2730 Georgia Rd
Franklin, NC 28734
Phone (828) 349-3636

4901 Dawn Dr
Ste 1100
Lumberton, NC 28360
Phone (910) 887-2361

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

20403 University Blvd
Ste 600
Sugar Land, TX 77478
Phone (281) 340-9000

161 Fort Evans Rd NE
Ste 320
Leesburg, VA 20176
Phone (703) 777-5111

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1376735068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 CAPRON ST",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283072038",
            "telephone_number": "706-577-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "706-577-6404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2587 Hope Mills Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283068684",
            "country_code": "US",
            "telephone_number": "706-577-6404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "KELLY",
        "middle_name": "C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-16",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "1634066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.

Verify at the official NPI Registry.