MS. KELLY D. MITCHELL (SRNA) – Certified Registered Nurse Anesthetist, NPI 1114203130

MS. KELLY D. MITCHELL (SRNA) is a healthcare provider. based in Benton, Arkansas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials SRNA. They hold a License No. R40164 (AR). The NPI Number for MS. KELLY D. MITCHELL (SRNA) is 1114203130

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLY D. MITCHELL (SRNA)
NPI
1114203130
Phone
(501) 310-5461
Address
8300 E CHERRY ST
Enumeration Date
24 October 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5012022093
Graduation Year
2011 (15 years ago)
PAC ID
9931376308
Group Practice PAC ID
7911802079
Professional Enrollment ID
I20120125000890
Address ID
AR722056321LI9601XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

716 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in AR

Provider Addresses for MS. KELLY D. MITCHELL (SRNA)

  • 8300 E CHERRY ST

    BENTON, AR 720158806

    Phone: (501) 310-5461

    Type: Mailing

  • 3333 SPRINGHILL DR

    NORTH LITTLE ROCK, AR 721172922

    Phone: (501) 202-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120125000890ICertified Registered Nurse Anesthetist (Crna)ARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
01402Anesthesia for procedure for total knee joint replacement1717$0
01214Anesthesia for total hip replacement1212$0
View full utilization report →

Insurance plans in this area (ZIP 72015)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911802079View full group profile
NameSpecialtyState
-AR
-AR
-AR
Diagnostic Radiology, Interventional RadiologyAR
-AR
-AR
-AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR
Certified Registered Nurse Anesthetist (Crna)AR

Reviews

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Frequently asked questions

What federal number belongs to MS. KELLY D. MITCHELL (SRNA)?
The federal identifier for MS. KELLY D. MITCHELL (SRNA) is NPI 1114203130.
Is MS. KELLY D. MITCHELL (SRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MS. KELLY D. MITCHELL (SRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MS. KELLY D. MITCHELL (SRNA). Clinical services aligned with this taxonomy classification.
What location shows for MS. KELLY D. MITCHELL (SRNA)?
We surface Benton, Arkansas for MS. KELLY D. MITCHELL (SRNA) based on available NPPES addresses.
How can I contact MS. KELLY D. MITCHELL (SRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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