Active NPI
Jordan Kelley, CRNA
- Certified Registered Nurse Anesthetist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 826262
- Practice address
- 7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395 - Phone
- (702) 878-0070
- NPI assigned
- Jun 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 826262 | NV | Primary |
Addresses
Primary practice location
7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395
Mailing address
7160 Rafael Rivera Way Ste 210
Las Vegas, NV 89113-5395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- University of New England, College of Osteo Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (702) 961-8434
Hospital & facility affiliations
- Mountainview Hospital
- Saint Rose Dominican Hospitals - Siena Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.25 of 100
- Quality
- 74.41
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95002076 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fielden Hanson Isaacs Miyada Robison Yeh LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| G & G Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arizona Anesthesia Consultants, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761
9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042
7160 Rafael Rivera Way
Ste 210
Las Vegas, NV 89113
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Las Vegas, NV
- NPI 1699710749
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Glendale, AZ
- NPI 1740402940
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Henderson, NV
- NPI 1770626426
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746835200000",
"number": "1891319398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7160 RAFAEL RIVERA WAY STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891135395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 RAFAEL RIVERA WAY STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891135395",
"telephone_number": "702-878-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JORDAN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-01",
"last_updated": "2025-05-10",
"certification_date": "2025-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NV",
"license": "826262",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; 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.