Individual provider Active NPI

Kelly Renehan, RN

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1649714296
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R216157 Issued in MD
Practice address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone
(410) 601-5209
NPI assigned
Dec 15, 2016
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 R216157 MD Primary

Addresses

Primary practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Mailing address

2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone (410) 601-5209

Other practice location 1

1001 S George St
York, PA 17403-3676
Phone (717) 812-7687

Other practice location 2

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 646-4204

Other practice location 3

169 Martin Ave
Ephrata, PA 17522-1734
Phone (717) 733-0311

Other practice location 4

236 West St
Gettysburg, PA 17325-2509
Phone (717) 338-4500

Other practice location 5

147 Gettys St
Gettysburg, PA 17325-2534
Phone (717) 337-4168

Other practice location 6

252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500

Other practice location 7

112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

Other practice location 8

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811

Other practice location 9

25 Monument Rd
York, PA 17403-5060
Phone (717) 741-8250

Other practice location 10

12 St Paul Dr
Chambersburg, PA 17201-1035
Phone (717) 217-6072

Other practice location 11

501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425

Other practice location 12

4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 859-5160

Other practice location 13

55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425

Other practice location 14

835 5th Ave
Chambersburg, PA 17201-4220
Phone (717) 217-4312

Other names 1

  • Kelly Sullivan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170222000993 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688958465 Reassigns benefits to 4 organizations
I20180912000534 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688958465 Reassigns benefits to 1 organization
I20250604000008 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4688958465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Maryland LLCGroup PAC ID 4284085796, 28 clinicians
Capitol Anesthesia Associates LTDGroup PAC ID 3274848320, 17 clinicians
Western Maryland Anesthesia Associates, LLCGroup PAC ID 5193249795, 13 clinicians

Practice addresses (Care Compare)

10212 Governor Lane Blvd
Unit 1004
Williamsport, MD 21795-4088
Phone (301) 733-4200

20680 Seneca Meadows Pkwy
Suite 200
Germantown, MD 20876-7029
Phone (202) 276-9197

7115 Guilford Dr
Suite 201
Frederick, MD 21704-5236
Phone (301) 695-6800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Maryland Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 26, 2025 Accepting new patients
Capitol Anesthesia Associates, LTD CurrentSince Mar 3, 2025 Accepting new patients
Northstar Anesthesia of Maryland LLC CurrentSince Aug 1, 2025 Accepting new patients
North American Partners in Anesthesia Maryland LLC CurrentSince Feb 3, 2017 Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

6400 Goldsboro Rd
Ste 400
Bethesda, MD 20817
Phone (301) 263-0800

7115 Guilford Dr
Ste 201
Frederick, MD 21704
Phone (301) 682-6261

11711 Livingston Rd
Ft Washington, MD 20744
Phone (301) 203-2250

20680 Seneca Meadows Pkwy
Ste 200
Germantown, MD 20876
Phone (240) 608-6000

12200 Annapolis Rd
Ste 220
Glenn Dale, MD 20769
Phone (301) 699-2296

5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000

9 Park Center Ct
Ste 100
Owings Mills, MD 21117
Phone (410) 205-7667

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

10212 Governor Lane Blvd
Unit 1004
Williamsport, MD 21795
Phone (301) 733-4200

Organizations & group practices 6

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 & 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": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1649714296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-812-7687",
            "fax_number": "717-851-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-646-4204",
            "fax_number": "717-646-4205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "169 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221734",
            "country_code": "US",
            "telephone_number": "717-733-0311",
            "fax_number": "717-721-5861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 West St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252509",
            "country_code": "US",
            "telephone_number": "717-338-4500",
            "fax_number": "717-334-6996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "147 Gettys St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252534",
            "country_code": "US",
            "telephone_number": "717-337-4168",
            "fax_number": "717-337-4318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "252 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170426111",
            "country_code": "US",
            "telephone_number": "717-270-7500",
            "fax_number": "717-228-1642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-267-7164",
            "fax_number": "717-267-7414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-690-0811",
            "fax_number": "717-283-4193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035060",
            "country_code": "US",
            "telephone_number": "717-741-8250",
            "fax_number": "717-741-8289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6072",
            "fax_number": "717-217-6952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-3425",
            "fax_number": "717-765-3478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Barrett Blvd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-859-5160",
            "fax_number": "717-798-3935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035023",
            "country_code": "US",
            "telephone_number": "717-812-6425",
            "fax_number": "717-851-5250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014220",
            "country_code": "US",
            "telephone_number": "717-217-4312",
            "fax_number": "717-217-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENEHAN",
        "first_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R216157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SULLIVAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.