KELLY B. CROWLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1821170960

KELLY B. CROWLEY (CRNA) is a healthcare provider. based in Santa rosa, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN-564 (HI). The NPI Number for KELLY B. CROWLEY (CRNA) is 1821170960

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
KELLY B. CROWLEY (CRNA)
NPI
1821170960
Phone
(707) 282-9054
Address
401 BICENTENNIAL WAY
Enumeration Date
19 October 2006
Last Update Date
11 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7073934000
Graduation Year
1986 (40 years ago)
PAC ID
8628061330
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20090822000145
Address ID
CA954032149SA401XXWAYX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

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Provider Addresses for KELLY B. CROWLEY (CRNA)

  • Kaiser Permanente Santa Rosa Medical Center, 401, Bicentennial Way, Santa Rosa, Sonoma County, California, 95403, United States

    SANTA ROSA, CA 954032149

    Phone: (707) 282-9054

    Mailing address matches the actual address.

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: 2009-08-22

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
I20090822000145ICertified Registered Nurse Anesthetist (Crna)CATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95403)

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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: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Can I cross-check KELLY B. CROWLEY (CRNA) using NPI 1821170960?
NPI 1821170960 belongs to KELLY B. CROWLEY (CRNA); compare other details if you need extra assurance.
Active or inactive — what applies to KELLY B. CROWLEY (CRNA)?
You should see KELLY B. CROWLEY (CRNA) as active in CMS-hosted NPPES data.
What kind of doctor is KELLY B. CROWLEY (CRNA)?
KELLY B. CROWLEY (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY B. CROWLEY (CRNA)?
Directory geography for KELLY B. CROWLEY (CRNA) centers on Santa Rosa, California.
Does KELLY B. CROWLEY (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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