Active NPI
Kelly Renehan, RN
- Certified Registered Nurse Anesthetist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R216157
- Practice address
- 2401 W Belvedere Ave
Baltimore, MD 21215-5216 - Phone
- (410) 601-5209
- NPI assigned
- Dec 15, 2016
- Last updated
- May 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, PA
Enrollment records 3
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Maryland Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capitol Anesthesia Associates, LTD | Current | Accepting new patients | |
| Northstar Anesthesia of Maryland LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia Maryland LLC | Current | 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.
-
- Anesthesiology Physician
- La Plata, MD
- NPI 1528747490
-
- Certified Registered Nurse Anesthetist
- Frederick, MD
- NPI 1740097013
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Prince Frederick, MD
- NPI 1093707879
-
- Anesthesiology Physician
- Westminster, MD
- NPI 1972367522
-
- Anesthesiology Physician
- Darby, PA
- NPI 1700218989
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Gettysburg Hospital SPU
- Ambulatory Surgical Clinic/Center
- Gettysburg, PA
- NPI 1184882011
Hospital
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
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"
}
]
}
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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.