KELLY EDWARDS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1720447352

KELLY EDWARDS (CRNA) is a healthcare provider. based in Lakewood ranch, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 0024173261 (VA). The NPI Number for KELLY EDWARDS (CRNA) is 1720447352

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY EDWARDS (CRNA)
NPI
1720447352
Phone
(540) 597-7021
Address
11408 GOLDEN BAY PL
Enumeration Date
10 February 2016
Last Update Date
16 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413795884
Graduation Year
2015 (11 years ago)
PAC ID
9830496512
Group Practice PAC ID
0446158745
Professional Enrollment ID
I20200519001699
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

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

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Provider Addresses for KELLY EDWARDS (CRNA)

  • 11408, Golden Bay Place, Lakewood Ranch, Manatee County, Florida, 34211, United States

    LAKEWOOD RANCH, FL 342113404

    Phone: (540) 597-7021

    Type: Mailing

  • 3333, Cattlemen Road, Sarasota County, Florida, 34232, United States

    SARASOTA, FL 342326056

    Phone: (540) 597-7021

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-01-04 • Largest payer in this snapshot: Boston Scientific Corporation ($34).

Total Amount

$90

General + Research + Ownership

Payments

5

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-04

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160323001696ICertified Registered Nurse Anesthetist (Crna)VATBD
I20200519001699ICertified 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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance128113$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance8786$0
01937Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance5650$0
00811Anesthesia for other procedure on large bowel using an endoscope4848$0
01939Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance3130$0
View full utilization report →

Insurance plans in this area (ZIP 34211)

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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: 0446158745View full group profile

Reviews

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Frequently asked questions

How do I look up KELLY EDWARDS (CRNA) by NPI?
Use NPI 1720447352 when you need to reference KELLY EDWARDS (CRNA) in forms, claims, or directories.
Is KELLY EDWARDS (CRNA) currently active in the NPI registry?
CMS-published data lists KELLY EDWARDS (CRNA) as an active registrant.
What field does KELLY EDWARDS (CRNA) work in?
You can think of KELLY EDWARDS (CRNA) as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place KELLY EDWARDS (CRNA)?
The snapshot lists Lakewood Ranch, Florida for KELLY EDWARDS (CRNA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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