Individual provider Active NPI

Kelley Lynn Thomas, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
National Provider Identifier
1770728149
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3005906 Issued in KY
Practice address
530 S. Jackson Street
Room C2A01
Louisville, KY 40202
Phone
(502) 852-8266
Fax
(502) 852-3762
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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 3005906 KY Primary

Addresses

Primary practice location

530 S. Jackson Street
Room C2A01
Louisville, KY 40202

Mailing address

PO Box 909
Louisville, KY 40201-0909
Phone (502) 852-8266

Other identifiers 1

IdentifierTypeStateIssuer
7100075180MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090519000353 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335298561 Reassigns benefits to 4 organizations
I20140228000744 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335298561 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Services of Kentucky PLLCGroup PAC ID 0244590305, 351 clinicians
Universal Anesthesia Services LLCGroup PAC ID 9830268341, 58 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000

4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.99 of 100Reported as group
Quality
81.97
Promoting interoperability
97
Improvement activities
40
Cost
77.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates PLLC CurrentSince Apr 23, 2023 Accepting new patients
Professional Anesthesia Services of Kentucky PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2022 Accepting new patients
Anesthesiology Consultants Enterprises, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 29, 2025 Accepting new patients
Universal Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2024 Accepting new patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2019 Accepting new patients
Commonwealth Pain Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 23, 2023 Accepting new patients
University Anesthesiology Associates PSC Past Accepting new patients
Exacta Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

3423 Solutions Ctr
Chicago, IL 60677

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

107 S Washington St
Kokomo, IN 46901
Phone (765) 450-7554

770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344

3602 Northgate Ct
Ste 39
New Albany, IN 47150
Phone (812) 670-5684

520 S 7th St
Ste 159
Vincennes, IN 47591
Phone (812) 962-7890

935 Chambers Blvd
Bardstown, KY 40004
Phone (270) 506-3300

99 Wellpark Ln
Apt 4
Campbellsville, KY 42718
Phone (606) 260-8613

309 11th St
Carrollton, KY 41008
Phone (502) 732-3241

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

101 Prosperous Pl
Ste 300
Lexington, KY 40509
Phone (859) 271-3114

100 London Mountain View Dr
Fl 1
London, KY 40741
Phone (859) 275-5229

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

252 Whittington Pkwy
Louisville, KY 40222
Phone (502) 423-7246

4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000

850 S 28th St
Louisville, KY 40211
Phone (502) 629-7650

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

4420 Dixie Hwy
Ste 107
Louisville, KY 40216

2511 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 589-9488

400 Executive Park
Louisville, KY 40207
Phone (502) 896-9877

255 Church St
Ste 101
Pikeville, KY 41501
Phone (606) 260-8613

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: kelley.thomas.1@16521.direct.athenahealth.com

Organizations & group practices 8

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1770728149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010909",
            "telephone_number": "502-852-8266",
            "fax_number": "502-852-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S. JACKSON STREET",
            "address_2": "ROOM C2A01",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-852-8266",
            "fax_number": "502-852-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KELLEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3005906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100075180",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.