KEELY CARDWELL (DNAP) – Certified Registered Nurse Anesthetist, NPI 1477088201

KEELY CARDWELL (DNAP) is a healthcare provider. based in Eagle, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials DNAP. They hold a License No. 40228 (ID). The NPI Number for KEELY CARDWELL (DNAP) is 1477088201

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KEELY CARDWELL (DNAP)
NPI
1477088201
Phone
(816) 529-2518
Address
781 N SHADOWRIDGE AVE
Enumeration Date
30 April 2017
Last Update Date
4 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083360895
Graduation Year
2017 (9 years ago)
PAC ID
5698041895
Group Practice PAC ID
2668385287
Professional Enrollment ID
I20171016001291
Address ID
ID837126207BO338XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:9State licenses:3Digital endpointsOther names

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

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Provider Addresses for KEELY CARDWELL (DNAP)

  • 781, North Shadowridge Avenue, Eagle, Ada County, Idaho, 83616, United States

    EAGLE, ID 83616

    Phone: (816) 529-2518

    Type: Mailing

  • 338, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126207

    Phone: (208) 336-0895

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-02-03 • Largest payer in this snapshot: Ethicon US, LLC ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Ethicon US, LLC$38
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: 2017-10-16

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
I20171016001291ICertified Registered Nurse Anesthetist (Crna)IDTBD

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 83616)

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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: 2668385287View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)SC
A N E S T H E S I O L O G YID
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTN
Certified Registered Nurse Anesthetist (Crna)ID
A N E S T H E S I O L O G YMN
Certified Registered Nurse Anesthetist (Crna)ID
Certified Registered Nurse Anesthetist (Crna)ID
-ID

Reviews

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Frequently asked questions

Where can patients find KEELY CARDWELL (DNAP)'s NPI?
You can confirm KEELY CARDWELL (DNAP) with NPI 1477088201; it appears in the national provider directory.
Is KEELY CARDWELL (DNAP) currently active in the NPI registry?
CMS-published data lists KEELY CARDWELL (DNAP) as an active registrant.
Does KEELY CARDWELL (DNAP) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for KEELY CARDWELL (DNAP). Clinical services aligned with this taxonomy classification.
Where is KEELY CARDWELL (DNAP)'s primary listing?
We display Eagle, Idaho because that is what the record indicates for KEELY CARDWELL (DNAP).
Is KEELY CARDWELL (DNAP) a real provider?
This page reflects official NPPES data for NPI 1477088201. Always confirm identity and privileges with the practice and licensing boards.

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