Active NPI
John R Kelley, CRNA
- Certified Registered Nurse Anesthetist
- Florence, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-096865
- Practice address
- 103 Helton CT
Florence, AL 35630-1464 - Phone
- (256) 760-0672
- NPI assigned
- Jan 28, 2009
- Last updated
- Jun 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2025018932 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 1-096865 | AL | Primary |
Addresses
Primary practice location
103 Helton CT
Florence, AL 35630-1464
Mailing address
PO Box 235022
Montgomery, AL 36123-5022
Phone (334) 396-6930
Other practice location 1
100 Hospital Dr
Lebanon, MO 65536-9210
Phone (417) 533-6026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MO, MS
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1900
830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258
830 S Gloster St
Tupelo, MS 38801-4934
830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901995 | MS | MD | Family Nurse Practitioner |
| 1-096865 | AL | MD | Certified Registered Nurse Anesthetist |
| 2025018932 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP - Florence LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Namc Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Mississippi Medical Center | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Tupelo Anesthesia Group PA | Past | Accepting new patients |
Locations
1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900
201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600
100 Hospital Dr
Lebanon, MO 65536
Phone (417) 533-6010
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Florence, AL
- NPI 1710551940
Nurse Anesthetist, Certified Registered
-
dba Behavioral Health Center
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
dba Shoals Hospital - Crna
- Hospitalist Physician
- Muscle Shoals, AL
- NPI 1023322369
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
dba Mercy Clinic Family Medicine-Willow Springs
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
dba Radiology Consultants
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
dba NMMC - CRNA Anesthesia Service
- Anesthesiology Physician
- Tupelo, MS
- NPI 1730283896
-
- Anesthesiology Physician
- Tupelo, MS
- NPI 1558390443
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba North Alabama Medical Center
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1669610648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235022",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361235022",
"telephone_number": "334-396-6930",
"fax_number": "334-396-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 HELTON CT",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356301464",
"telephone_number": "256-760-0672"
}
],
"practiceLocations": [
{
"address_1": "100 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "MO",
"postal_code": "655369210",
"country_code": "US",
"telephone_number": "417-533-6026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "JOHN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-28",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2025018932",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-096865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.