Individual provider Active NPI

Kelly Elizabeth Mueller, CRNA

  • Certified Registered Nurse Anesthetist
  • Newport News, VA
National Provider Identifier
1780059857
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024173217 Issued in VA
Practice address
2 Bernardine Dr
Newport News, VA 23602-4404
Phone
(754) 886-6000
NPI assigned
Dec 1, 2015
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024173217 VA Primary
Registered Nurse 163W00000X 0001207247 VA

Addresses

Primary practice location

2 Bernardine Dr
Newport News, VA 23602-4404

Mailing address

4023 Windsor RDG
Williamsburg, VA 23188-1425
Phone (804) 658-6409

Other practice location 1

400 Sentara Cir # 200
Williamsburg, VA 23188-5716
Phone (757) 345-4140

Other practice location 2

580 City Center Blvd
Newport News, VA 23606-1880
Phone (757) 782-4886

Other practice location 3

1031 Loftis Blvd
Newport News, VA 23606-2981
Phone (757) 736-9696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160316002130 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173829199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Bernadine Dr
Newport News, VA 23602-4404
Phone (757) 886-6000

760 McGuire PL
Newport News, VA 23601-1630

760 McGuire PL FL
Suite 2
Newport News, VA 23601-1630

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001207247VAMDRegistered Nurse
0024173217VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of Virginia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 15, 2021 Accepting new patients
Virginia Anesthesia and Perioperative Care Specialists LLC CurrentSince Dec 13, 2016 Accepting new patients

Locations

1031 Loftis Blvd
Newport News, VA 23606
Phone (757) 599-4922

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

760 McGuire Pl
Fl 2
Newport News, VA 23601
Phone (757) 591-2260

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

400 Sentara Cir
#200
Williamsburg, VA 23188
Phone (678) 690-7816

Organizations & group practices 3

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.

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": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1780059857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 WINDSOR RDG",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881425",
            "telephone_number": "804-658-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BERNARDINE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024404",
            "telephone_number": "754-886-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Sentara Cir # 200",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-345-4140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 City Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236061880",
            "country_code": "US",
            "telephone_number": "757-782-4886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 Loftis Blvd",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236062981",
            "country_code": "US",
            "telephone_number": "757-736-9696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-01",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024173217",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001207247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.