Active NPI
Kelly M Gidell, CRNA
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704172534
- Practice address
- 1000 Harrington St
Mount Clemens, MI 48043-2920 - Phone
- (586) 493-8747
- NPI assigned
- Mar 5, 2007
- 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 | 4704172534 | MI | Primary |
Addresses
Primary practice location
1000 Harrington St
Mount Clemens, MI 48043-2920
Mailing address
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8747
Other practice location 1
43475 Dalcoma Dr Ste 100
Clinton Twp, MI 48038-3593
Phone (586) 263-5043
Other practice location 2
22401 Foster Winter Dr
Southfield, MI 48075-3724
Phone (248) 423-5198
Other practice location 3
11012 E 13 Mile Rd Ste 112A
Warren, MI 48093-2546
Phone (586) 751-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2300
Hospital & facility affiliations
- McLaren Macomb
- Henry Ford Macomb Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Anesthesia Associates, PLLC | Current | Accepting new patients | |
| Eastern District Anesthesiology PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| GLPS Staffing Solutions LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Asa Staffing Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Ann Arbor, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Macomb Anesthesia, PC | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2006 Hogback Rd
Ste 5
Ann Arbor, MI 48105
Phone (313) 712-4331
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
30795 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 421-3000
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
1349 S Rochester Rd
Ste 250
Rochester Hills, MI 48307
Phone (248) 601-0040
22401 Foster Winter Dr
Southfield, MI 48075
Phone (248) 423-4100
11012 E 13 Mile Rd
Ste 112A
Warren, MI 48093
Phone (586) 573-6880
Interoperability endpoints
- kgidell1061148@direct.hfhs.org
Organizations & group practices 10
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.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Clinton Township, MI
- NPI 1528130739
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Westland, MI
- NPI 1669581997
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Rochester Hills, MI
- NPI 1396397741
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
- NPI 1750797015
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Mount Clemens, MI
- NPI 1073534947
-
- Anesthesiology Physician
- Clinton Township, MI
- NPI 1639248206
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Neonatal Nurse Practitioner
- Clinton Township, MI
- NPI 1912301094
Nurse Anesthetist, Certified Registered
-
- Nurse Practitioner
- Chesterfield, MI
- NPI 1952440521
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1437288628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 HARRINGTON ST",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432920",
"telephone_number": "586-493-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HARRINGTON ST",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432920",
"telephone_number": "586-493-8747"
}
],
"practiceLocations": [
{
"address_1": "43475 Dalcoma Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Clinton Twp",
"state": "MI",
"postal_code": "480383593",
"country_code": "US",
"telephone_number": "586-263-5043",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "22401 Foster Winter Dr",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480753724",
"country_code": "US",
"telephone_number": "248-423-5198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11012 E 13 Mile Rd Ste 112A",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "MI",
"postal_code": "480932546",
"country_code": "US",
"telephone_number": "586-751-9800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIDELL",
"first_name": "KELLY",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704172534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Clemens, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.