Individual provider Active NPI

Denise I. Kelley, CRNA

  • Certified Registered Nurse Anesthetist
  • Dallas, TX
National Provider Identifier
1730187535
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
662934 Issued in TX
Practice address
13737 Noel Road
Ste 1400
Dallas, TX 75240-2004
Phone
(972) 715-5000
Fax
(972) 715-9976
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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 662934 TX Primary

Addresses

Primary practice location

13737 Noel Road
Ste 1400
Dallas, TX 75240-2004

Mailing address

PO Box 650865
Dallas, TX 75265-0865
Phone (972) 715-5000

Other identifiers 5

IdentifierTypeStateIssuer
167815303MedicaidTX
167815301MedicaidTX
167815304MedicaidTX
P01002880OtherTXRAILROAD
85926UOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000581 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416931076 Reassigns benefits to 5 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
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
Valiant Anesthesia Associates, PLLCGroup PAC ID 5092956243, 60 clinicians

Practice addresses (Care Compare)

10864 Texas Health TRL
Fort Worth, TX 76244-4897
Phone (817) 250-2150

14850 Quorum Dr
Suite 400
Dallas, TX 75254-1445
Phone (469) 437-3564

Hospital & facility affiliations

  • Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
662934TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L. Vera MD, PA CurrentSince Apr 11, 2014 Accepting new patients
Spine Team Texas, PA CurrentSince Jul 25, 2013 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2014 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2018 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2014 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2018 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Jul 1, 2023 Accepting new patients
Spine Team Texas PA CurrentSince Jul 25, 2013 Accepting new patients

Locations

150 Bluff Ave
North Augusta, SC 29841
Phone (706) 736-1830

1600 Central Dr
Ste 300
Bedford, TX 76022
Phone (817) 318-0235

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

8200 Walnut Hill Ln
#D
Dallas, TX 75231
Phone (214) 345-5634

3107 W Camp Wisdom Rd
Ste 189
Dallas, TX 75237
Phone (214) 331-2922

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

1615 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 421-0279

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

701 Tuscan Dr
Ste 100
Irving, TX 75039
Phone (214) 496-1100

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

3142 Horizon Rd
Ste 100
Rockwall, TX 75032
Phone (682) 651-1908

1545 E Southlake Blvd
Ste 100
Southlake, TX 76092

1545 E Southlake Blvd
Southlake, TX 76092
Phone (817) 557-8205

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400630400000",
    "number": "1730187535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650865",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752650865",
            "telephone_number": "972-715-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 NOEL ROAD",
            "address_2": "STE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752402004",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DENISE",
        "middle_name": "I.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2014-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "662934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167815303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167815301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167815304",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P01002880",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "85926U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.