DAVID K KELLY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1396736328

DAVID K KELLY (CRNA) is a healthcare provider. based in Maitland, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. ARNP2572842 (FL). The NPI Number for DAVID K KELLY (CRNA) is 1396736328

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DAVID K KELLY (CRNA)
NPI
1396736328
Phone
(407) 667-0444
Address
291 SOUTHHALL LN
Enumeration Date
31 October 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3865862025
Graduation Year
1994 (32 years ago)
PAC ID
9032186101
Group Practice PAC ID
0345143152
Professional Enrollment ID
I20040916000965
Address ID
FL321645980PA60XXXPKWY400
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

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

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Provider Addresses for DAVID K KELLY (CRNA)

  • 291, Southhall Lane, Maitland, Orange County, Florida, 32751, United States

    MAITLAND, FL 327517274

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Mailing

  • Florida Hospital New Smyrna, 401, Palmetto Street, New Smyrna Beach, Volusia County, Florida, 32168, United States

    NEW SMYRNA BEACH, FL 321687322

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $181.

Total Amount is formed as General ($181) + Research ($0) + Ownership ($0) = $181.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($181).

Total Amount

$181

General + Research + Ownership

Payments

9

Total payment records

General Amount

$181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$181
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: 2004-09-16

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
I20040916000965ICertified 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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope6060$0
00813Anesthesia for procedure on small and large bowel using an endoscope5858$0
00811Anesthesia for other procedure on large bowel using an endoscope5454$0
00812Anesthesia for exam of colon using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

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Provider's Procedures

DAVID K 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 ANESTHETFL00790Anesthesia for procedure in upper abdomen including use of an endoscope1212

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: 0345143152View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
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
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
-FL
-FL

Reviews

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Frequently asked questions

Where can patients find DAVID K KELLY (CRNA)'s NPI?
You can confirm DAVID K KELLY (CRNA) with NPI 1396736328; it appears in the national provider directory.
Is DAVID K KELLY (CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DAVID K KELLY (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for DAVID K KELLY (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place DAVID K KELLY (CRNA)?
The snapshot lists Maitland, Florida for DAVID K KELLY (CRNA); download NPPES for the complete set.
How can I contact DAVID K KELLY (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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