Individual provider Active NPI

Karen S Kelly, CRNA

  • Certified Registered Nurse Anesthetist
  • Naples, FL
National Provider Identifier
1467622175
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9483544 Issued in FL
Practice address
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone
(239) 304-4862
Fax
(239) 304-5157
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 222133 NC
Certified Registered Nurse Anesthetist 367500000X ARNP9290405 FL
Certified Registered Nurse Anesthetist 367500000X 629132 NY
Certified Registered Nurse Anesthetist 367500000X RN546418 PA
Certified Registered Nurse Anesthetist 367500000X ARNP9483544 FL Primary
Certified Registered Nurse Anesthetist 367500000X 0024168373 VA
Certified Registered Nurse Anesthetist 367500000X 329661 OH
Certified Registered Nurse Anesthetist 367500000X 4172A SC

Addresses

Primary practice location

6101 Pine Ridge Rd
Naples, FL 34119-3900

Mailing address

PO Box 551420
Fort Lauderdale, FL 33607-6307
Phone (800) 243-3839

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120126000381 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406929322 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9290405FLMDCertified Registered Nurse Anesthetist
222133NCMDCertified Registered Nurse Anesthetist
629132NYMDCertified Registered Nurse Anesthetist
329661OHMDCertified Registered Nurse Anesthetist
RN546418PAMDCertified Registered Nurse Anesthetist
4172ASCMDCertified Registered Nurse Anesthetist
0024168373VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia, Pennsylvania , LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 18, 2025 Accepting new patients
Upmc Community Medicine Inc CurrentSince Dec 19, 2011 Accepting new patients
Upmc Community Medcine Inc CurrentSince Dec 19, 2011 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients
Premier Anesthesia of New York, P.C. Nurse Anesthetist, Certified Registered CurrentSince Mar 4, 2017 Accepting new patients
Amsol Anesthetists of Henderson PLLC Past Accepting new patients
Apollomd Group Services, LLC Past Accepting new patients
Premier Anesthesia of Florida LLC Nurse Anesthetist, Certified Registered PastSince Jan 19, 2020 Accepting new patients

Locations

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

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

200 State St
Erie, PA 16507
Phone (814) 453-3900

201 State St
Erie, PA 16550
Phone (814) 877-2137

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

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Organizations & group practices 8

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": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1467622175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551420",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "336076307",
            "telephone_number": "800-243-3839",
            "fax_number": "855-851-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 PINE RIDGE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341193900",
            "telephone_number": "239-304-4862",
            "fax_number": "239-304-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KAREN",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "222133",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9290405",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "629132",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN546418",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9483544",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024168373",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "329661",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "4172A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.