Anita Rae Kelly, RN

Individual provider Active NPI Critical Care Medicine Registered Nurse · Barnesville, OH

NPI 1497601157 · NPPES record last updated Mar 5, 2026

Key facts

NPI
1497601157
Entity type
Individual (NPI type 1)
Primary specialty
Critical Care Medicine Registered Nurse 163WC0200X
License
491086 (OH)
Practice address
611 Bond Ave
Barnesville, OH 43713-1281
Phone
(843) 607-7234
NPI assigned
Mar 5, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
491086OHMDCritical Care Medicine Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WC0200X 491086 OH Yes

Addresses

Primary practice location

611 Bond Ave
Barnesville, OH 43713-1281

Mailing address

611 Bond Ave
Barnesville, OH 43713-1281

Other providers in Barnesville, OH

All providers in Barnesville, OH · Critical Care Medicine Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.