Individual provider Active NPI

Robert Kelsey, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1912918350
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209005585 Issued in IL
Practice address
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Phone
(317) 621-5890
NPI assigned
Aug 11, 2006
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200926480MedicaidIN
9232012OtherILBCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
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, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050908000201 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870525090 Reassigns benefits to 5 organizations
I20090717000468 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870525090 Reassigns benefits to 2 organizations

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
Daviess County HospitalGroup PAC ID 1557271665, 67 clinicians
North American Partners in Anesthesia Illinois LLCGroup PAC ID 1052576519, 431 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
American Anesthesiology Associates of Illinois, S.C.Group PAC ID 3971498924, 50 clinicians

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

OrganizationSpecialtyStatusNew patients
Daviess County Hospital Current Accepting new patients
Carle Health Medical Group CurrentSince May 7, 2019 Accepting new patients
Daviess County Hospital CurrentSince May 12, 2023 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince May 7, 2019 Accepting new patients
Daviess County Hospital CurrentSince May 12, 2023 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince May 7, 2019 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 1, 2012 Accepting new patients
North American Partners in Anesthesia (Illinois), LLC CurrentSince Dec 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jul 1, 2012 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 3

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": "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.

Verify at the official NPI Registry.