KELLY JEAN GARRY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1669403069

KELLY JEAN GARRY (CRNA) is a healthcare provider. based in Lake bluff, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 041308615 (IL). The NPI Number for KELLY JEAN GARRY (CRNA) is 1669403069

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KELLY JEAN GARRY (CRNA)
NPI
1669403069
Phone
(847) 615-2200
Address
921 SHERWOOD DR
Enumeration Date
5 July 2006
Last Update Date
18 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
1850479668
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20080418000560
Address ID
IL606124795CH1801XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

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Provider Addresses for KELLY JEAN GARRY (CRNA)

  • Sherwood Drive, Lake Bluff, Lake County, Illinois, 60044, United States

    LAKE BLUFF, IL 600442203

    Phone: (847) 615-2200

    Type: Mailing

  • Torrence Avenue, Lansing, Thornton Township, Cook County, Illinois, 60438, United States

    LANSING, IL 604382870

    Phone: (708) 895-9450

    Fax: (708) 895-9455

    Type: Location

  • 680 N Lake Shore Dr

    SUITE 1000

    Chicago, IL 606114546

    Phone: (312) 695-9797

    Type: Location

  • 1740 W Taylor St

    Chicago, IL 606127232

    Phone: (312) 996-7487

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($83).

Total Amount

$83

General + Research + Ownership

Payments

4

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$83
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: 2018-01-11

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
I20080418000560ICertified Registered Nurse Anesthetist (Crna)ILTBD
I20180111000096ICertified Registered Nurse Anesthetist (Crna)INTBD

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
00142Anesthesia for lens surgery2020$0
View full utilization report →

Insurance plans in this area (ZIP 60044)

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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: 3072422716View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
Gastroenterology, Internal MedicineWI
-IL
O P H T H A L M O L O G YNY
O T O L A R Y N G O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

Does KELLY JEAN GARRY (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY JEAN GARRY (CRNA) uses 1669403069.
Can I rely on KELLY JEAN GARRY (CRNA) being an active provider?
As of the registry snapshot, KELLY JEAN GARRY (CRNA) is marked active.
What healthcare role does KELLY JEAN GARRY (CRNA) hold?
Scheduling teams often label KELLY JEAN GARRY (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does KELLY JEAN GARRY (CRNA) list a practice location?
Patients near Lake Bluff, Illinois may find KELLY JEAN GARRY (CRNA) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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