Active NPI
Kelly Maureen Fitzgerald, CRNA
- Certified Registered Nurse Anesthetist
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 121707
- Practice address
- 3000 New Bern Ave
Raleigh, NC 27610-1231 - Phone
- (919) 350-5645
- NPI assigned
- Jun 11, 2007
- 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 | 121707 | NC | Primary |
Addresses
Primary practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Mailing address
PO Box 18139
Raleigh, NC 27619-8139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8052851 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital Dr
Hendersonville, NC 28792-5272
Phone (828) 681-2420
Hospital & facility affiliations
- Adventhealth Hendersonville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121707 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Charles a Cannon Jr Memorial Hospital Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Current | Accepting new patients | |
| Watauga Medical Center Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Charles a. Cannon, Jr. Memorial Hospital, Inc. | Current | Accepting new patients | |
| Fletcher Hospital Inc. | Current | Accepting new patients | |
| Watauga Medical Center, Inc. | Current | Accepting new patients | |
| Charles a. Cannon, Jr. Memorial Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Fletcher Hospital Inc | Current | Accepting new patients | |
| Perioperative Medicine Consultants, LLC | Past | Accepting new patients | |
| Anesthesia Resources of the Carolinas, P.a. | Past | Accepting new patients |
Locations
155 Furman Rd
Ste 101
Boone, NC 28607
Phone (828) 262-4111
336 Deerfield Rd
Boone, NC 28607
Phone (828) 263-1211
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167
80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034
Interoperability endpoints
- kfitzgerald16325@direct.unc.nchie.net
- kfitzgerald3144835@adventhealth.direct-ci.com
Organizations & group practices 15
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.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
-
- Certified Registered Nurse Anesthetist
- Linville, NC
- NPI 1346302783
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Hospitalist Physician
- Boone, NC
- NPI 1528134194
-
- Anesthesiology Physician
- Morganton, NC
- NPI 1346828878
-
- Psychiatric Hospital Unit
- Linville, NC
- NPI 1407006968
-
- Cardiovascular Disease Physician
- Linville, NC
- NPI 1477006385
-
- Hospitalist Physician
- Linville, NC
- NPI 1821403957
-
- Rural Health Clinic/Center
- Saluda, NC
- NPI 1376371880
-
- Family Medicine Physician
- Hendersonville, NC
- NPI 1477995124
-
- Clinic/Center
- Chapel Hill, NC
- NPI 1285689299
-
- Land Ambulance
- Boone, NC
- NPI 1255120184
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1679776108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18139",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276198139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 NEW BERN AVE",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101231",
"telephone_number": "919-350-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "KELLY",
"middle_name": "MAUREEN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "121707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8052851",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.