Active NPI
Carla Kelley, CRNA
- Certified Registered Nurse Anesthetist
- Marysville, CA
National Provider Identifier
1932136199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CR000952
- Practice address
- 726 4TH St
Marysville, CA 95901-5656 - Phone
- (530) 749-4300
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- 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 | 646369 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | NA2506 | CA | |
| Certified Registered Nurse Anesthetist | 367500000X | CR000952 | SD | Primary |
Addresses
Primary practice location
726 4TH St
Marysville, CA 95901-5656
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141720603 | Medicaid | TX | |
| P00266245 | Other | GA | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, SD
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
361 Town Ctr W
Santa Maria, CA 93458-5076
Phone (805) 922-6581
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42743 | TX | MD | Pharmacist |
| 2506 | CA | MD | Hand Occupational Therapist |
| NA2506 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Maria Gastroenterology Medical Group Inc. | Current | Accepting new patients | |
| Ophthalmology LTD Eye Surgery Center L L C | Current | Accepting new patients | |
| Panhandle Eye Group, LLP | Past | Accepting new patients | |
| Panhandle Anesthesia Services LLP | Past | Accepting new patients | |
| Anesthesia Consulting Services, PA | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Robert W. Paige M. D. P. a. | Past | Accepting new patients |
Locations
361 Town Ctr W
Ste 101
Santa Maria, CA 93458
Phone (805) 287-9107
361 Town Ctr W
Santa Maria, CA 93458
Phone (805) 922-6581
6601 S Minnesota Ave
Ste 100
Sioux Falls, SD 57108
Phone 6053366294630
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Gastroenterology Physician
- Santa Maria, CA
- NPI 1386971687
-
- Ambulatory Surgical Clinic/Center
- Sioux Falls, SD
- NPI 1871581876
-
- General Acute Care Hospital
- Santa Maria, CA
- NPI 1760510937
-
- Anesthesiology Physician
- Wichita, KS
- NPI 1518070416
-
- Anesthesiology Physician
- Amarillo, TX
- NPI 1174738371
-
- Ophthalmology Physician
- Amarillo, TX
- NPI 1760571723
-
- Pain Medicine (Anesthesiology) Physician
- Amarillo, TX
- NPI 1508896739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1932136199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 4TH ST",
"city": "MARYSVILLE",
"state": "CA",
"postal_code": "959015656",
"telephone_number": "530-749-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "CARLA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "646369",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA2506",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "CR000952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141720603",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00266245",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.