Individual provider Active NPI

Julie Anne Kelbert, CRNA

  • Certified Registered Nurse Anesthetist
  • Burlington, VT
National Provider Identifier
1578893293
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101.0059819 Issued in VT
Practice address
111 Colchester Ave
Fahc Department of Anesthesiology
Burlington, VT 05401-1473
Phone
(802) 847-0000
NPI assigned
Dec 31, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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 101.0059819 VT Primary

Addresses

Primary practice location

111 Colchester Ave
Fahc Department of Anesthesiology
Burlington, VT 05401-1473

Mailing address

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150402000817 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618010778 Reassigns benefits to 1 organization
I20161010001772 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618010778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of New England, College of Osteo Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
R.I.S.E. Integrated Mental Health PLLC 7 clinicians
Stratham Anesthesia Associates PLLC 26 clinicians

Practice addresses (Care Compare)

4 Market Place Dr
Suite 1 2
York, ME 03909-1698
Phone (207) 630-2922

4 W Rd
Suite B1
Stratham, NH 03885-2612
Phone (603) 772-2076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
070772-23NHMDPediatric Nurse Practitioner
101.0059819VTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
R.I.S.E. Integrated Mental Health PLLC CurrentSince Nov 9, 2024 Accepting new patients
York Hospital CurrentSince Oct 1, 2016 Accepting new patients
Stratham Anesthesia Associates PLLC CurrentSince Apr 1, 2016 Accepting new patients
Portsmouth Anesthesia Associates PA CurrentSince Jan 1, 2015 Accepting new patients

Locations

15 Sky View Dr
Ste 200
Cumberland Foreside, ME 04110
Phone (207) 630-2922

4 Market Place Dr
Unit 12
York, ME 03909
Phone (207) 630-2922

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

333 Bothwick Ave
Portsmouth, NH 03801
Phone (603) 433-4907

4 West Rd
Ste B1
Stratham, NH 03885
Phone (603) 772-2076

Organizations & group practices 4

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": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1578893293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "FAHC DEPARTMENT OF ANESTHESIOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELBERT",
        "first_name": "JULIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-31",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VT",
            "license": "101.0059819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.