Cassandra Anne Kelly, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

123534 Issued in AZ

Practice address

1 Sycamore St Apt 343
Terre Haute, IN 47807-2622

Phone

(812) 841-2633

NPI assigned

Sep 10, 2018

Last updated

Dec 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cassandra Anne Pabst Former name

Medicare fee-for-service enrollment

Enrolled in IN, IL2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Midwestern University, Chicago College of Osteopathic Med, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital and Medical Foundation of Paris IncGroup PAC ID 7315933827, 123 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paris Community Hospital Hospital, Paris, IL, CCN 141320

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cassandra.kelly.1@11356.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital & Medical Foundation of Paris, Inc.

  dba Paris Community Hospital

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322
  Medicare reassignment Care Compare group NPD
• Iceland Anesthesia Management, LLC

  • Anesthesiology Physician
  • Terre Haute, IN
  • NPI 1912578667

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Hospital & Medical Foundation of Paris, Inc.

  dba Chrisman Clinic

  • Rural Health Clinic/Center
  • Chrisman, IL
  • NPI 1447314653
  NPD
• Hospital & Medical Foundation of Paris, Inc.

  dba Horizon Health

  • Clinic/Center
  • Paris, IL
  • NPI 1629280367

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

• Hospital & Medical Foundation of Paris, Inc.

  dba Paris Community Hospital

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322
  Care Compare affiliation

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1598248239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SYCAMORE ST # 343",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478072622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SYCAMORE ST APT 343",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478072622",
            "telephone_number": "812-841-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CASSANDRA",
        "middle_name": "ANNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "123534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "PABST",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel P Kellar, MD
• Fayth Keller, RBT
• Renee Karam Keller, OTR/L
• Lynn Rae Kellett, MSN, CPNP, FNP-C
• Leah Kelley
• Kayla Kelly
• Terri Ellen Kelly, CRNA
• Kylie Kelsheimer, RBT
• Gwenda Kelty, RN
• Keelie Kelty

• Certified Registered Nurse Anesthetist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.