Active NPI
Robert Kelsey, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209005585
- Practice address
- 7150 Clearvista Dr
Indianapolis, IN 46256-1695 - Phone
- (317) 621-5890
- NPI assigned
- Aug 11, 2006
- Last updated
- Nov 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 041316652 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28177287A | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | 209005585 | IL | Primary |
Addresses
Primary practice location
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Mailing address
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2805
Other practice location 1
812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 443-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200926480 | Medicaid | IN | |
| 9232012 | Other | IL | BCBS |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rkelsey9474@eCommunityDirect.com | Community Physicians of Indiana Inc | |
| Direct Messaging Address | ekelly6533@eCommunityDirect.com | Community Physicians of Indiana Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1314 E Walnut St
DCH ER Physicians Group
Washington, IN 47501-2860
Phone (812) 254-2760
1400 W Park St
Urbana, IL 61801-2334
Phone (217) 337-2000
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone (317) 621-6262
77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 695-3200
812 N Logan Ave
Danville, IL 61832-3752
Phone (217) 443-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Current | Accepting new patients | |
| Carle Health Medical Group | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| American Anesthesiology of Illinois, LLC | Past | Accepting new patients | |
| Premier Anesthesia of Danville | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
5819 Reliable Pkwy
Chicago, IL 60686
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
998 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 744-3000
9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511
1400 W Park St
Urbana, IL 61801
Phone (217) 337-2000
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
7150 Clearvista Dr
Indianapolis, IN 46256
Phone (317) 355-5041
8075 N Shadeland Ave
Indianapolis, IN 46250
Phone (317) 621-8000
1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- rkelsey9474@ecommunitydirect.com
Organizations & group practices 13
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
dba Advanced Orthopedics
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1124231493
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Certified Registered Nurse Anesthetist
- Crown Point, IN
- NPI 1013475375
IL
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
dba Daviess Community Hospital Montgomery Medical Clinic
- Rural Health Clinic/Center
- Montgomery, IN
- NPI 1336959279
-
dba DCH ER Physicians Group
- Emergency Care Clinic/Center
- Washington, IN
- NPI 1417558271
-
- Medical-Surgical Registered Nurse
- Hoopeston, IL
- NPI 1457422164
-
- Anesthesiology Physician
- Merrillville, IN
- NPI 1326224270
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Sacred Heart Medical Center
- General Acute Care Hospital
- Danville, IL
- NPI 1699288449
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1912918350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 CLEARVISTA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561695",
"telephone_number": "317-621-5890"
}
],
"practiceLocations": [
{
"address_1": "812 N Logan Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "IL",
"postal_code": "618323752",
"country_code": "US",
"telephone_number": "217-443-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELSEY",
"first_name": "ROBERT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "041316652",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28177287A",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209005585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200926480",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9232012",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rkelsey9474@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "812 N Logan Ave",
"city": "Danville",
"state": "IL",
"country_code": "US",
"postal_code": "618323752",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ekelly6533@eCommunityDirect.com",
"affiliation": "Y",
"affiliationName": "Community Physicians of Indiana Inc",
"address_1": "812 N Logan Ave",
"city": "Danville",
"state": "IL",
"country_code": "US",
"postal_code": "618323752",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.