Individual provider Active NPI

Kelli Renee Kissel, CRNA

  • Certified Registered Nurse Anesthetist
  • Saginaw, MI
National Provider Identifier
1447560081
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704257821 Issued in MI
Practice address
1447 N Harrison St
Saginaw, MI 48602-4727
Phone
(989) 583-6237
Fax
(989) 583-6032
NPI assigned
Oct 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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 4704257821 MI Primary

Addresses

Primary practice location

1447 N Harrison St
Saginaw, MI 48602-4727

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-6237

Other names 1

  • Ms. Kelli Renee Richardson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000125 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193911139 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prestige Anesthesia PCGroup PAC ID 2668818329, 9 clinicians
Anesthesia Associates of the Lower Peninsula PCGroup PAC ID 1456841865, 25 clinicians
Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians
Resource Anesthesiology Associates of Mi PCGroup PAC ID 4082883053, 62 clinicians

Practice addresses (Care Compare)

4450 Fashion Square Blvd
Suite 200
Saginaw, MI 48603-1251
Phone (989) 790-7950

4599 Towne Centre Rd
Saginaw, MI 48604-2804
Phone (734) 421-3300

501 S Ballenger Hwy
McLaren Surgery and Endoscopy Center
Flint, MI 48532-3606
Phone (810) 768-2044

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8200

Hospital & facility affiliations

  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704257821MIMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jawad a Shah MD PC CurrentSince Dec 12, 2023 Accepting new patients
Covenant Medical Center, Inc. Nurse Anesthetist, Certified Registered CurrentSince Nov 10, 2010 Accepting new patients
Superior Anesthetists Associates, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Covenant Medical Center, Inc CurrentSince Nov 10, 2010 Accepting new patients
Alliance Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Nov 1, 2023 Accepting new patients
The Center for Gastrointestinal Health at Health Park LLC CurrentSince Feb 24, 2018 Accepting new patients
Resource Anesthesiology Associates of Mid Michigan PC CurrentSince Jul 1, 2025 Accepting new patients
Anesthesia Associates of the Lower Peninsula PC CurrentSince Oct 1, 2025 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2017 Accepting new patients
Prestige Anesthesia, PC CurrentSince Nov 1, 2024 Accepting new patients
Jawad a Shah, MD PC CurrentSince Dec 12, 2023 Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

5701 Bow Pointe Dr
Ste 145
Clarkston, MI 48346
Phone (248) 922-4800

4800 S Saginaw St
Ste 1805
Flint, MI 48507
Phone (810) 275-9108

4800 S Saginaw St
Ste 1815
Flint, MI 48507
Phone (810) 275-9152

501 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-4800

4800 S Saginaw St
Ste 1845
Flint, MI 48507
Phone (810) 275-9152

600 Health Park Blvd
Ste E
Grand Blanc, MI 48439
Phone (810) 503-8210

2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

4450 Fashion Square Blvd
Ste 500
Saginaw, MI 48603

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

4450 Fashion Square Blvd
Ste 200
Saginaw, MI 48603
Phone (989) 790-7950

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

4550 Investment Dr
Troy, MI 48098
Phone (248) 265-4600

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1447560081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-6237",
            "fax_number": "989-583-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-6237",
            "fax_number": "989-583-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "KELLI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-18",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704257821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "RICHARDSON",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.