KELLY MARIE GRANGER – Certified Registered Nurse Anesthetist, NPI 1265012504

KELLY MARIE GRANGER is a healthcare provider. based in North palm beach, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 144409 (FL). The NPI Number for KELLY MARIE GRANGER is 1265012504

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY MARIE GRANGER
NPI
1265012504
Phone
(561) 315-6644
Address
953 LAUREL RD
Enumeration Date
12 April 2021
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616506271
Graduation Year
2016 (10 years ago)
PAC ID
2264893080
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20230726002604
Address ID
FL334013406WE1309XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for KELLY MARIE GRANGER

  • 953 LAUREL RD

    NORTH PALM BEACH, FL 334084020

    Phone: (561) 315-6644

    Type: Mailing

  • 13001 SOUTHERN BLVD

    LOXAHATCHEE, FL 334709203

    Phone: (561) 798-3300

    Type: Location

  • 1309 N FLAGLER DR

    WEST PALM BEACH, FL 334013406

    Phone: (561) 655-5511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-02-20 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$19
View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-26

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
I20230726002604ICertified 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
01402Anesthesia for procedure for total knee joint replacement1616$0
View full utilization report →

Insurance plans in this area (ZIP 33408)

Loading plans...

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: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference KELLY MARIE GRANGER?
For KELLY MARIE GRANGER, use NPI 1265012504 as the unique 10-digit identifier.
Would KELLY MARIE GRANGER appear as active to a payer?
You can treat KELLY MARIE GRANGER as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with KELLY MARIE GRANGER?
KELLY MARIE GRANGER's record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with KELLY MARIE GRANGER?
Directory geography for KELLY MARIE GRANGER centers on North Palm Beach, Florida.
When was this NPI issued?
Enumeration for KELLY MARIE GRANGER is noted as April 12, 2021 where the registry provides it.

Similar Providers

619, Pilot Road, North Palm Beach, Palm Beach County, Florida, 33408, United States
NPI: 1730157520

ALESIA QUANTE (CRNA)

Certified Registered Nurse Anesthetist
1037, Marina Drive, North Palm Beach, Palm Beach County, Florida, 33408, United States
NPI: 1144233768

MRS. LINDA SARANDON FOLEY (ARNP, CRNA)

Certified Registered Nurse Anesthetist
1636, Bowood Road, Juno Isles, Palm Beach County, Florida, 33408, United States
NPI: 1407039209