Individual provider Active NPI

Kellie L Deeter, CRNA

  • Certified Registered Nurse Anesthetist
  • Norwalk, OH
National Provider Identifier
1780870113
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
09618 Issued in OH
Practice address
1171 Pioneer Pass
Norwalk, OH 44857-8928
Phone
(419) 706-4150
NPI assigned
Sep 19, 2007
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X LE-00027692 OH
Certified Registered Nurse Anesthetist 367500000X 09618 OH Primary

Addresses

Primary practice location

1171 Pioneer Pass
Norwalk, OH 44857-8928

Mailing address

1171 Pioneer Pass
Norwalk, OH 44857-8928
Phone (419) 706-4150

Other identifiers 2

IdentifierTypeStateIssuer
481161444OtherOHTAX ID
2810980MedicaidOH

Other names 1

  • Kellie L. Winslow Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071116000290 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608964184 Reassigns benefits to 6 organizations
I20200728002734 OH Practitioner - Nurse Practitioner 6608964184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Firelands Anesthesia Associates IncGroup PAC ID 9032143334, 6 clinicians

Practice addresses (Care Compare)

1100 Neal Zick Rd
Willard, OH 44890-9287
Phone (419) 964-5479

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LE-00027692OHMDAdult Health Nurse Practitioner
09618OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology, LLC Current Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Apr 1, 2016 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Mar 1, 2025 Accepting new patients
Arlington Anesthesia Partners LLC CurrentSince Mar 21, 2025 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Mar 1, 2025 Accepting new patients
Marion Area Physicians LLC CurrentSince Jun 1, 2016 Accepting new patients
Firelands Anesthesia Associates, Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2007 Accepting new patients
Anesthesiology Consultants of Toledo, Inc Past Accepting new patients
Blanchard Valley Regional Health Center Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

Dept L3652
Columbus, OH 43260

269 Portland Way S
Galion, OH 44833
Phone (419) 462-4547

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

1050 Delaware Ave
Marion, OH 43302
Phone (740) 383-7038

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 964-5000

Organizations & group practices 10

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": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1780870113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 PIONEER PASS",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448578928",
            "telephone_number": "419-706-4150",
            "fax_number": "419-964-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 PIONEER PASS",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448578928",
            "telephone_number": "419-706-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEETER",
        "first_name": "KELLIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "LE-00027692",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "09618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "481161444",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2810980",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLIE",
            "last_name": "WINSLOW",
            "middle_name": "L.",
            "credential": "APRN CRNA, CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.