MR. JOSEPH ANTHONY KELLY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154395267

MR. JOSEPH ANTHONY KELLY (CRNA) is a healthcare provider. based in Jacksonville, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN282245L (PA). The NPI Number for MR. JOSEPH ANTHONY KELLY (CRNA) is 1154395267

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOSEPH ANTHONY KELLY (CRNA)
NPI
1154395267
Phone
(904) 542-7856
Address
NAVAL HOSPITAL JACKSONVILLE
Enumeration Date
15 February 2006
Last Update Date
20 March 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9048544854
Graduation Year
1997 (29 years ago)
PAC ID
4880695675
Group Practice PAC ID
9436392438
Professional Enrollment ID
I20070122000399
Address ID
FL322168713JA7051XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,359 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

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Provider Addresses for MR. JOSEPH ANTHONY KELLY (CRNA)

  • Naval Hospital Jacksonville, 2080, Child Street, Jacksonville, Duval County, Florida, 32214, United States

    2080 CHILD ST

    JACKSONVILLE, FL 322140001

    Phone: (904) 542-7856

    Fax: (904) 542-9114

    Type: Location

  • 1706 EAGLE WATCH DR

    ORANGE PARK, FL 320038637

    Phone: (904) 215-8068

    Type: Mailing

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: 2007-01-22

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
I20070122000399ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00142Anesthesia for lens surgery7372$0
00140Anesthesia for other procedure on eye1212$0
View full utilization report →

Insurance plans in this area (ZIP 32214)

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Provider's Procedures

MR. JOSEPH ANTHONY KELLY (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETFL00142Anesthesia for lens surgery4545

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: 9436392438View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Is MR. JOSEPH ANTHONY KELLY (CRNA) listed with a National Provider Identifier?
Yes — MR. JOSEPH ANTHONY KELLY (CRNA) has NPI 1154395267 on file in the registry.
Active or inactive — what applies to MR. JOSEPH ANTHONY KELLY (CRNA)?
You should see MR. JOSEPH ANTHONY KELLY (CRNA) as active in CMS-hosted NPPES data.
What expertise is attributed to MR. JOSEPH ANTHONY KELLY (CRNA)?
MR. JOSEPH ANTHONY KELLY (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MR. JOSEPH ANTHONY KELLY (CRNA) located near Jacksonville?
MR. JOSEPH ANTHONY KELLY (CRNA) currently maps to Jacksonville, Florida in this extract.
Can I trust this NPI listing for MR. JOSEPH ANTHONY KELLY (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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