Individual provider Active NPI

Brian Kelly, CRNA

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
National Provider Identifier
1780003210
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
186890 Issued in TN
Practice address
341 Trane Dr
Knoxville, TN 37919-6053
Phone
(865) 588-0880
NPI assigned
Apr 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 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 186890 TN Primary

Addresses

Primary practice location

341 Trane Dr
Knoxville, TN 37919-6053

Mailing address

PO Box 51947
Knoxville, TN 37950-1947
Phone (865) 588-0880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141209001526 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 9133441751 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Tennessee, HSC, College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Anesthesiologists, PLLCGroup PAC ID 8921097197, 150 clinicians
Resource Anesthesia, P.C.Group PAC ID 1254228141, 71 clinicians

Practice addresses (Care Compare)

1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone (865) 305-9220

256 Fort Sanders W Blvd
Unit 8
Knoxville, TN 37922-3355
Phone (865) 558-4400

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resource Anesthesia, P.C. Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2025 Accepting new patients
Covenant Anesthesia Group, PC CurrentSince Apr 1, 2023 Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2014 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince May 10, 2023 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 10, 2023 Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients

Locations

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1600 Accelerator Way
Ste 100
Knoxville, TN 37920
Phone (865) 264-3404

1924 Alcoa Hwy
#U109
Knoxville, TN 37920
Phone (865) 305-9220

256 Fort Sanders West Blvd
Unit 8
Knoxville, TN 37922

256 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 244-4580

Dept 888089
Knoxville, TN 37995

341 Trane Dr
Knoxville, TN 37919
Phone (865) 588-0880

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

550 Fort Loudon Medical Center Dr
#C
Lenoir City, TN 37772

90 Vermont Ave
Oak Ridge, TN 37830
Phone (865) 482-8880

990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000

944 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 835-3810

Organizations & group practices 6

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": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1780003210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51947",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379501947",
            "telephone_number": "865-588-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 TRANE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379196053",
            "telephone_number": "865-588-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "186890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.