Individual provider Active NPI

Kiel Kelly, CRNA

  • Certified Registered Nurse Anesthetist
  • Allentown, PA
National Provider Identifier
1427558220
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
117981 Issued in PA
Practice address
24 S 18TH St
Allentown, PA 18104-5622
Phone
(610) 628-8327
NPI assigned
Feb 19, 2018
Last updated
Feb 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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 117981 PA Primary

Addresses

Primary practice location

24 S 18TH St
Allentown, PA 18104-5622

Mailing address

3590 Quincy LN
Bethlehem, PA 18017-1542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301001012 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274894563 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
117981PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 3, 2022 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Oct 3, 2022 Accepting new patients
GSC Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Geisinger-HM Joint Venture, LLC Current Accepting new patients
Northeastern Anesthesia Physicians P.C. CurrentSince Feb 19, 2018 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger-HM Joint Venture, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 3, 2022 Accepting new patients
Ultracare Anesthesia Partners LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 8, 2022 Accepting new patients
Lehigh Anesthesia Associates, P.C. CurrentSince Apr 3, 2023 Accepting new patients
Geisinger Clinic CurrentSince Oct 3, 2022 Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince May 16, 2023 Accepting new patients
Associates in Anesthesia, Inc. CurrentSince Jun 13, 2023 Accepting new patients
Associates in Anesthesia Past Accepting new patients
Ridley Crossings Surgical Center Past Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1736 Hamilton St
Allentown, PA 18104
Phone (610) 770-8300

24 S 18th St
Allentown, PA 18104
Phone (610) 628-8372

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

1553 Chester Pike
Ste 102
Crum Lynne, PA 19022
Phone (484) 487-0369

100 N Academy Ave
Danville, PA 17822

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

875 Norman Dr
Lebanon, PA 17042
Phone (717) 272-2010

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

255 Route 220 Hwy
Muncy, PA 17756
Phone (570) 308-2600

2000 Grant Ave
Ste 101
Philadelphia, PA 19115
Phone (215) 990-6002

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1427558220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 QUINCY LN",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180171542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 18TH ST",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181045622",
            "telephone_number": "610-628-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KIEL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "117981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.