Stephen Earl Kelley, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

28228678A Issued in IN

Practice address

877 Jefferson Ave
Memphis, TN 38103

Phone

(901) 545-7100

NPI assigned

Jun 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midsouth Speciality Anesthesia Services LLC 29 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.97 of 100Reported as group

Quality

64.58

Improvement activities

40

Cost

77.33

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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 and National Provider Directory roles.

• Midsouth Speciality Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Germantown, TN
  • NPI 1245956440

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment Care Compare group NPD
• Lifelinc Anesthesia II, PLLC

  • Anesthesiology Physician
  • Springfield, TN
  • NPI 1821397233

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD
• Lifelinc Anesthesia VIII PLLC

  • Anesthesiology Physician
  • Newport, TN
  • NPI 1679265052

  Nurse Anesthetist, Certified Registered, TN

  Medicare reassignment NPD

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1760831754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 LANAI DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468188552",
            "telephone_number": "901-240-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 JEFFERSON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38103",
            "telephone_number": "901-545-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "STEPHEN",
        "middle_name": "EARL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-09",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "24275",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28228678A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28228678A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer R Kelley, PT, DPT
• Kathy J Kelley, MSN
• Laurel Kelley, OD
• Misty D Kelley, CRNA
• Patricia A. Kelley, PH.D.
• Timothy Kelley, CRNA
• Abigail Phipps Kellis, DO
• Rebecca Ann Kellum, DPH
• Thomas Purnell Kelly III, D.PH.
• Alexis Sierra Lynn Kelly, MS, LPC/MHSP

• All providers in Memphis, TN
• Certified Registered Nurse Anesthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; 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.