KELSEY JO KOYANAGI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1164164604

KELSEY JO KOYANAGI (CRNA) is a healthcare provider. based in Highland, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 10043837 (OR). The NPI Number for KELSEY JO KOYANAGI (CRNA) is 1164164604

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY JO KOYANAGI (CRNA)
NPI
1164164604
Phone
Not provided
Address
60 LAURA LN
Enumeration Date
13 April 2022
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034947641
Graduation Year
2022 (4 years ago)
PAC ID
8022499367
Group Practice PAC ID
6901702869
Professional Enrollment ID
I20250806002716
Address ID
OR972393011PO3181XRDXX600

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:4State licenses:4Other names

1,777 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for KELSEY JO KOYANAGI (CRNA)

  • 60 LAURA LN

    HIGHLAND, IL 622491095

    Phone:

    Type: Mailing

  • 3015 N BALLAS RD

    SAINT LOUIS, MO 631312329

    Phone: (314) 996-5000

    Type: Location

  • 3181 SW Sam Jackson Park Rd

    Portland, OR 972393011

    Phone: (503) 494-7641

    Fax: (503) 494-4661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($18).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-02

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: 2025-08-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20220719000833ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20240516004058ICertified Registered Nurse Anesthetist (Crna)WATBD
I20250130002209ICertified Registered Nurse Anesthetist (Crna)COTBD
I20250806002716ICertified Registered Nurse Anesthetist (Crna)ORTBD

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 endoscope2828$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope2121$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00790Anesthesia for other procedure on upper abdomen1414$0
01402Anesthesia for procedure for total knee joint replacement1414$0
View full utilization report →

Insurance plans in this area (ZIP 62249)

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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: 6901702869View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
-OR
-OR
Certified Registered Nurse Anesthetist (Crna)OR
-OR
-OR
-OR
-OR
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YOR

Reviews

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Frequently asked questions

Does KELSEY JO KOYANAGI (CRNA) have a public NPI I can cite?
Public records show KELSEY JO KOYANAGI (CRNA) under NPI 1164164604.
Does the public listing show KELSEY JO KOYANAGI (CRNA) as active?
KELSEY JO KOYANAGI (CRNA)'s NPI record reflects an active status in NPPES.
What type of care does KELSEY JO KOYANAGI (CRNA) provide?
KELSEY JO KOYANAGI (CRNA)'s profile centers on Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Can patients visit KELSEY JO KOYANAGI (CRNA) in Highland, Illinois?
For routing, start with Highland, Illinois for KELSEY JO KOYANAGI (CRNA), then verify phone and hours locally.
Can I export KELSEY JO KOYANAGI (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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