Kelly Donatelli, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP9237289 Issued in FL

Practice address

3949 Evans Ave
Ste 102
Fort Myers, FL 33901-9335

Phone

(239) 939-2622

Fax

(239) 939-0151

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimum AnesthesiaGroup PAC ID 9638326432, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.59 of 100Reported as group

Quality

83.4

Promoting interoperability

100

Improvement activities

40

Cost

78.58

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://a8580225-25d6-4812-a463-58e49a80f214.gastro.prod.fhir.ema-api.com/fhir/r4/

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.

• Optimum Anesthesia

  • Anesthesiology Physician
  • Poland, OH
  • NPI 1851656854

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Gastroenterology Specialists Inc

  • Gastroenterology Physician
  • Canton, OH
  • NPI 1831171974
  Medicare reassignment NPD
• Northstar Anesthesia of Ohio LLC

  • Anesthesiology Physician
  • Springfield, OH
  • NPI 1417276429
  Medicare reassignment NPD
• Wooster Pain and Anesthesia Center LLC

  • Pain Medicine (Anesthesiology) Physician
  • Wooster, OH
  • NPI 1649616947
  Medicare reassignment NPD
• Gastroenterology Specialists Inc

  • Ambulatory Surgical Clinic/Center
  • Canton, OH
  • NPI 1447231287
  NPD
• Anesthesia & Pain Consultants of SW FL

  • Specialist
  • Fort Myers, FL
  • NPI 1609843275
  NPD (past)
• Outpatient Anesthesia of Southwest Florida Inc

  • Specialist
  • Fort Myers, FL
  • NPI 1518244383
  NPD (past)
• University Anesthesia

  • Specialist
  • Fort Myers, FL
  • NPI 1780651356
  NPD (past)
• Akron Pediatric Ophthalmology and Ophthalmic Plastic Surgery, Inc

  • Specialist
  • Akron, OH
  • NPI 1710062013
  NPD (past)
• Barrett Pain Associates, Inc

  • Pain Medicine Physician
  • Dover, OH
  • NPI 1710180450
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186099200000",
    "number": "1437123486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 ANTICA ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339051503",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 EVANS AVE",
            "address_2": "STE 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019335",
            "telephone_number": "239-939-2622",
            "fax_number": "239-939-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "KELLY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9237289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P00277773",
            "identifier": "RAILROAD MEDICARE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G3949",
            "identifier": "BLUE CROSS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberto Dominguez
• Tamara Dominick, ARNP
• Yvetta Diana Dominique
• Edna Domino, APRN
• Ellen Kroog Donald, PT
• Li Dong I
• Brittanee Donovan, PA-C
• Rachel Bass Donovan, D.M.D
• Ryan Joseph Donovan, D.M.D.
• Andy Dorcely, MSOTR/L

• Certified Registered Nurse Anesthetist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.