MS. KELLY JEAN MIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1396089157
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN
Provider Addresses for MS. KELLY JEAN MIS (CRNA)
5454 HOHMAN AVE
HAMMOND, IN 463201931
Phone: (219) 932-2300
Type: Location
1726 SHERIDAN AVE
WHITING, IN 463941729
Phone: (219) 218-6730
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2013-03-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130306000528 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 28 | 25 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 27 | 27 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 22 | 22 | $0 |
| 01938 | Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance | 20 | 20 | $0 |
| 00170 | Anesthesia for other procedure on mouth | 15 | 15 | $0 |
Insurance plans in this area (ZIP 46320)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | IN | 00142 | Anesthesia for lens surgery | 60 | 56 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| A N E S T H E S I O L O G Y | KY | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | IN |
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