DARRYL NEELY – Certified Registered Nurse Anesthetist, NPI 1073910378

DARRYL NEELY is a healthcare provider. based in Louisville, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1116491 (KY). The NPI Number for DARRYL NEELY is 1073910378

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DARRYL NEELY
NPI
1073910378
Phone
Not provided
Address
601 S FLOYD ST STE 407
Enumeration Date
2 December 2014
Last Update Date
2 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392428010
Graduation Year
2014 (12 years ago)
PAC ID
4587982459
Group Practice PAC ID
1355352279
Professional Enrollment ID
I20200616002580
Address ID
FL339045782CA2721XSXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:11State licenses:3Digital endpointsOther names

1,371 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for DARRYL NEELY

  • 601 S FLOYD ST STE 407

    LOUISVILLE, KY 402021837

    Phone:

    Type: Mailing

  • 4001 DUTCHMANS LN

    LOUISVILLE, KY 402074714

    Phone: (502) 629-2880

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-06-16

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
I20200616002580ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00811Anesthesia for other procedure on large bowel using an endoscope308308$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope283273$0
00812Anesthesia for exam of colon using an endoscope8585$0
00813Anesthesia for procedure on small and large bowel using an endoscope5858$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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Provider's Procedures

DARRYL NEELY performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETKY00790Anesthesia for procedure in upper abdomen including use of an endoscope1817

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: 1355352279View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Is there an official ID for DARRYL NEELY in U.S. healthcare records?
The official identifier for DARRYL NEELY is NPI 1073910378.
Would DARRYL NEELY appear as active to a payer?
You can treat DARRYL NEELY as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is DARRYL NEELY?
DARRYL NEELY is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DARRYL NEELY?
Directory geography for DARRYL NEELY centers on Louisville, Kentucky.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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