Individual provider Active NPI

Kelly Elizabeth Fantozzi, CRNA

  • Certified Registered Nurse Anesthetist
  • Portsmouth, VA
National Provider Identifier
1982640728
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024166903 Issued in VA
Practice address
3636 High Street
Mary View Medical Center
Portsmouth, VA 23704
Phone
(757) 399-7461
Fax
(757) 399-1158
NPI assigned
Jun 21, 2006
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0024166903 VA Primary
Registered Nurse 163W00000X 0001169731 VA

Addresses

Primary practice location

3636 High Street
Mary View Medical Center
Portsmouth, VA 23704

Mailing address

355 Crawford St Ste 808
Portsmouth, VA 23704-2825
Phone (757) 399-7451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060407000516 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4789693433 Reassigns benefits to 3 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
Atlantic Anesthesia, IncGroup PAC ID 4587562152, 177 clinicians
East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians

Practice addresses (Care Compare)

1060 1St Colonial Rd
Virginia BCH, VA 23454-3002
Phone (757) 473-0055

229 Clearfield Ave
Suite 200
Virginia Beach, VA 23462-1815
Phone (757) 312-6300

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 473-0055

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 261-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0001169731VAMDRegistered Nurse
0024166903VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Dec 6, 2025 Accepting new patients
SMG Anesthesia Specialists LLC CurrentSince Jan 20, 2026 Accepting new patients
Atlantic Anesthesia, Inc CurrentSince Dec 9, 2008 Accepting new patients
Portsmouth Anesthesia Associates, P.C. Past Accepting new patients
Suffolk Anesthesia Associates Past Accepting new patients

Locations

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

6201 E Virginia Beach Blvd
Ste 200
Norfolk, VA 23502
Phone (757) 624-0700

830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000

1037 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 491-3535

134 Business Park Dr
Virginia Beach, VA 23462
Phone (757) 473-0044

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456
Phone (757) 507-1000

229 Clearfield Ave
Ste 200
Virginia Beach, VA 23462
Phone (757) 312-6300

Organizations & group practices 5

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1982640728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST STE 808",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042825",
            "telephone_number": "757-399-7451",
            "fax_number": "757-399-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 HIGH STREET",
            "address_2": "MARY VIEW MEDICAL CENTER",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23704",
            "telephone_number": "757-399-7461",
            "fax_number": "757-399-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANTOZZI",
        "first_name": "KELLY",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166903",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001169731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.