JENNISE M KELSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1437145166

JENNISE M KELSON (CRNA) is a healthcare provider. based in Atlanta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN112685 (GA). The NPI Number for JENNISE M KELSON (CRNA) is 1437145166

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
JENNISE M KELSON (CRNA)
NPI
1437145166
Phone
(770) 722-5786
Address
5671 JOHNSON FERRY RD
Enumeration Date
27 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8032456290
Graduation Year
2000 (26 years ago)
PAC ID
6305801457
Group Practice PAC ID
6507260668
Professional Enrollment ID
I20181217002080
Address ID
SC290031319BA506XXSTXX300
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

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for JENNISE M KELSON (CRNA)

  • Pediatric ENT of Atlanta, 1255, Johnson Ferry Road Northeast, Princeton Walk, Marietta, Cobb County, Georgia, 30068, United States

    SUITE 680

    ATLANTA, GA 303421606

    Phone: (770) 722-5786

    Fax: (770) 722-5786

    Type: Location

  • 4358 LOCHSA LN

    SUWANEE, GA 300241739

    Phone: (678) 889-4862

    Fax: (678) 889-4862

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Peerless Surgical Inc. ($71).

Total Amount

$89

General + Research + Ownership

Payments

3

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2018-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20041130000909ICertified Registered Nurse Anesthetist (Crna)GATBD
I20150325001890ICertified Registered Nurse Anesthetist (Crna)NCTBD
I20181217002080ICertified Registered Nurse Anesthetist (Crna)SCTBD

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 30342)

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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: 6507260668View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyCO
Nurse PractitionerNC
Family PracticeSC
Certified Registered Nurse Anesthetist (Crna)SC
Internal MedicineNC
Nurse PractitionerSC
Certified Registered Nurse Anesthetist (Crna)SC
Nurse PractitionerNC
Physician AssistantSC
Nurse PractitionerSC

Reviews

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Frequently asked questions

Can I verify JENNISE M KELSON (CRNA) with an NPI only?
You can start verification with NPI 1437145166 for JENNISE M KELSON (CRNA), then check state licensing separately.
Is JENNISE M KELSON (CRNA) listed as active for patients and plans?
The listing shows JENNISE M KELSON (CRNA) as active in the NPI system.
What healthcare role does JENNISE M KELSON (CRNA) hold?
Scheduling teams often label JENNISE M KELSON (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What area does JENNISE M KELSON (CRNA) serve?
JENNISE M KELSON (CRNA)'s listing highlights Atlanta, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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