Individual provider Active NPI

Barbie Kelly, CRNA

  • Certified Registered Nurse Anesthetist
  • Westwood, MA
National Provider Identifier
1720185994
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
257774 Issued in MA
Practice address
690 Canton St
Suite 325
Westwood, MA 02090-2321
Phone
(781) 407-7713
Fax
(781) 407-0998
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 257774 MA Primary

Addresses

Primary practice location

690 Canton St
Suite 325
Westwood, MA 02090-2321

Mailing address

PO Box 414422
Boston, MA 02241-4422
Phone (781) 407-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040528000366 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749261303 Reassigns benefits to 3 organizations
I20051018000049 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749261303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Gi PLLCGroup PAC ID 9830110758, 243 clinicians
Amsurg Mdsine Anesthesia LLCGroup PAC ID 8729204334, 4 clinicians

Practice addresses (Care Compare)

245 Alvord Park Rd
BLDG B
Torrington, CT 06790-3493
Phone (860) 496-0455

55 Saint George Rd
Springfield, MA 01104-3333
Phone (413) 736-7463

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3262CTMDDental Hygienist
257774MAMDEmergency Medicine Physician
003262CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Mdsine Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2022 Accepting new patients
Charter Anesthesiology LLC CurrentSince Oct 1, 2023 Accepting new patients
Pioneer Sedation PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 18, 2022 Accepting new patients
Anesthesia Associates of Willimantic PC CurrentSince Mar 24, 2022 Accepting new patients
Patriot Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Butler Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered Past Accepting new patients
Waterbury Anesthesiology Assoc. Inc Past Accepting new patients
Berkshire Anesthesiologists PC Past Accepting new patients
Anesthesia Associates of Springfield Inc Past Accepting new patients

Locations

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

37 Kennedy Dr
Ste C
Putnam, CT 06260
Phone (860) 423-7558

245 Alvord Park Rd
Bldg B
Torrington, CT 06790
Phone (860) 482-4866

1185 Main St
Willimantic, CT 06226
Phone (860) 423-7558

1185 Main St
Ste 4
Willimantic, CT 06226
Phone (860) 423-7556

3550 Main St
Ste 103
Springfield, MA 01107
Phone (413) 788-9700

55 Saint George Rd
Springfield, MA 01104
Phone (413) 276-4543

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1720185994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414422",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414422",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 CANTON ST",
            "address_2": "SUITE 325",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020902321",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BARBIE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "257774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.