Kelli Dee Clarke, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

247493 Issued in AZ

Practice address

8339 E Vista Dr
Scottsdale, AZ 85250-7321

Phone

(480) 229-1535

NPI assigned

Sep 14, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelli Dee Gleason Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Anesthesia Services PLLCGroup PAC ID 3971850892, 49 clinicians

Ascend Anesthesia LLCGroup PAC ID 5294246526, 76 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

63.31 of 100Reported as group

Quality

74.88

Improvement activities

0

Cost

73.76

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Ascend Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1407642945

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Summit Anesthesia Services PLLC

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
  • NPI 1821589144

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Alpha Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Mesa, AZ
  • NPI 1215625348

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Dec Anesthesia LLC

  • Anesthesiology Physician
  • Mesa, AZ
  • NPI 1093006520
  Medicare reassignment NPD
• Greater Anesthesia Solutions

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1124430244

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Network Anesthesia Consultants LLC

  • Anesthesiology Physician
  • Chandler, AZ
  • NPI 1083125843
  Medicare reassignment NPD
• Banner Hospital Based Physicians Arizona LLC

  • Multi-Specialty Clinic/Center
  • San Tan Valley, AZ
  • NPI 1275889891
  NPD
• Sonoran Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Chandler, AZ
  • NPI 1144970112
  NPD
• Four Peaks Anesthesia Consultants, LLC

  • Anesthesiology Physician
  • Chandler, AZ
  • NPI 1144739079
  NPD (past)
• Mesa Az Endoscopy ASC LLC

  dba Desert Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Mesa, AZ
  • NPI 1770557233
  NPD (past)
• Pinnacle Global Health LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Phoenix, AZ
  • NPI 1114832417
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1740895994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 S 131ST ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337602",
            "telephone_number": "480-229-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8339 E VISTA DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852507321",
            "telephone_number": "480-229-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "KELLI",
        "middle_name": "DEE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "247493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "GLEASON",
            "middle_name": "DEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Allen Clark, RPH
• Ray Nelson Clark, PHARMD
• Robert Wallace Clark III, DDS
• Tracy Clark, LCSW
• Alexandra Clarke
• Lisa Clarke
• Michele Clarkson, MSW,LCSW,CDST,CS
• Andrew Clary, PT
• Classic Dental
• Shane Douglas Clatterbuck, PT

• Certified Registered Nurse Anesthetist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.