KEVIN KELLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1295813558

KEVIN KELLEY (CRNA) is a healthcare provider. based in Weymouth, Massachusetts. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 166534 (MA). The NPI Number for KEVIN KELLEY (CRNA) is 1295813558

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN KELLEY (CRNA)
NPI
1295813558
Phone
(781) 337-4224
Address
163 LIBBEY PARKWAY
Enumeration Date
2 November 2006
Last Update Date
27 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089417642
Graduation Year
1994 (32 years ago)
PAC ID
9739088105
Group Practice PAC ID
8820136377
Professional Enrollment ID
I20040105000573
Address ID
MA023023308BR680XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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

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Provider Addresses for KEVIN KELLEY (CRNA)

  • Gale, 163, Libbey Industrial Parkway, Lovell Corners, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02189, United States

    SUITE 301

    WEYMOUTH, MA 021893118

    Phone: (781) 337-4224

    Fax: (781) 335-0429

    Mailing address matches the actual address.

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: 2004-01-05

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
I20040105000573ICertified 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
00142Anesthesia for lens surgery254247$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand2929$0
00103Anesthesia for procedure on eyelid2222$0
00140Anesthesia for other procedure on eye1212$0
View full utilization report →

Insurance plans in this area (ZIP 02189)

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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: 8820136377View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
-MA
-MA
A N E S T H E S I O L O G YRI
Certified Registered Nurse Anesthetist (Crna)MA
A N E S T H E S I O L O G YMA
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)MA
Anesthesiology, Critical Care (Intensivists)MA

Reviews

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Frequently asked questions

What number should I use to identify KEVIN KELLEY (CRNA) for billing?
Administrative and clinical systems typically use NPI 1295813558 for KEVIN KELLEY (CRNA).
Should I treat KEVIN KELLEY (CRNA) as an active provider?
Patients and plans typically see KEVIN KELLEY (CRNA) as active in the national extract.
Which specialty label fits KEVIN KELLEY (CRNA)?
NPPES ties KEVIN KELLEY (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KEVIN KELLEY (CRNA)?
The directory associates KEVIN KELLEY (CRNA) with Weymouth, Massachusetts. Check all listed addresses for suites or satellite offices.
Can I export KEVIN KELLEY (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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