MICHAEL KELLY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023400462

MICHAEL KELLY (CRNA) is a healthcare provider. based in Holliston, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN274303 (MA). The NPI Number for MICHAEL KELLY (CRNA) is 1023400462

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL KELLY (CRNA)
NPI
1023400462
Phone
Not provided
Address
202 ASHLAND ST
Enumeration Date
23 February 2015
Last Update Date
23 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087540700
Graduation Year
2014 (12 years ago)
PAC ID
1254652977
Group Practice PAC ID
2668732041
Professional Enrollment ID
I20150608000283
Address ID
MA016053908WO300XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for MICHAEL KELLY (CRNA)

  • 202 ASHLAND ST

    HOLLISTON, MA 017461227

    Phone:

    Type: Mailing

  • 300 LONGWOOD AVE

    BOSTON, MA 021155724

    Phone: (617) 355-6000

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-02-02 • Largest payer in this snapshot: Masimo Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Masimo Corporation$17
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: 2015-06-08

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
I20150608000283ICertified Registered Nurse Anesthetist (Crna)MATBD

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 endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 01746)

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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: 2668732041View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)NH
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)RI
A N E S T H E S I O L O G YME
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)ME
Certified Registered Nurse Anesthetist (Crna)MA

Reviews

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Frequently asked questions

Can I verify MICHAEL KELLY (CRNA) with an NPI only?
You can start verification with NPI 1023400462 for MICHAEL KELLY (CRNA), then check state licensing separately.
Is MICHAEL KELLY (CRNA) still practicing?
MICHAEL KELLY (CRNA) is currently listed as active in the public NPI registry.
What is MICHAEL KELLY (CRNA)'s specialty?
The listing groups MICHAEL KELLY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MICHAEL KELLY (CRNA) list a practice location?
Patients near Holliston, Massachusetts may find MICHAEL KELLY (CRNA) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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