Individual provider Active NPI

Kelsey Ann McCord, CRNA

  • Certified Registered Nurse Anesthetist
  • Omaha, NE
National Provider Identifier
1629741889
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101713 Issued in NE
Practice address
7801 Wakeley Plaza
Omaha, NE 68114-3651
Phone
(402) 391-4855
Fax
(402) 391-6818
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 101713 NE Primary
Registered Nurse 163W00000X 80179 NE

Addresses

Primary practice location

7801 Wakeley Plaza
Omaha, NE 68114-3651

Mailing address

7801 Wakeley Plaza
Omaha, NE 68114-3651
Phone (402) 391-4855

Other names 1

  • Kelsey Ann Roth Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617002061 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779962972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia West PCGroup PAC ID 4789596834, 72 clinicians

Practice addresses (Care Compare)

707 N 190TH Plaza
Methodist Women's Hospistal
Elkhorn, NE 68022-3974
Phone (402) 815-4000

7801 Wakeley PLZ
Omaha, NE 68114-3651
Phone (402) 391-4855

7915 Farnam Dr
Omaha, NE 68114-4504
Phone (402) 399-1900

8303 Dodge St
Omaha, NE 68114-4108
Phone (402) 354-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80179NEMDRegistered Nurse
101713NEMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia West, P.C. Single Specialty Current Accepting new patients
Diagnostic & Int Med Assoc PC Single Specialty Past Accepting new patients

Locations

707 N 190th Plz
Elkhorn, NE 68022
Phone (402) 354-4000

16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550

7801 Wakeley Plz
Omaha, NE 68114
Phone (402) 391-4855

7822 Davenport St
Omaha, NE 68114
Phone (402) 391-4855

7915 Farnam Dr
Omaha, NE 68114
Phone (402) 399-1900

8303 W Dodge Rd
Omaha, NE 68114
Phone (402) 354-4000

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1629741889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 WAKELEY PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143651",
            "telephone_number": "402-391-4855",
            "fax_number": "402-391-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 WAKELEY PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143651",
            "telephone_number": "402-391-4855",
            "fax_number": "402-391-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "101713",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "80179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "ROTH",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.