BRITTANY LYNN KELLY – Certified Registered Nurse Anesthetist, NPI 1124396809

BRITTANY LYNN KELLY is a healthcare provider. based in Macomb, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4704251595 (MI). The NPI Number for BRITTANY LYNN KELLY is 1124396809

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
BRITTANY LYNN KELLY
NPI
1124396809
Phone
(313) 550-4943
Address
52274 MELODY DR
Enumeration Date
8 December 2011
Last Update Date
8 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2486525000
Graduation Year
2011 (15 years ago)
PAC ID
8921268384
Group Practice PAC ID
8820994098
Professional Enrollment ID
I20120322000562
Address ID
MI483071863RO1101XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for BRITTANY LYNN KELLY

  • 52274 MELODY DR

    MACOMB, MI 48042

    Phone: (313) 550-4943

    Type: Mailing

  • 1101 WEST UNIVERSITY DRIVE

    ROCHESTER, MI 48307

    Phone: (248) 652-5354

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: CooperSurgical, Inc. ($65).

Total Amount

$102

General + Research + Ownership

Payments

5

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

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: 2012-03-22

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
I20120322000562ICertified Registered Nurse Anesthetist (Crna)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48042)

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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: 8820994098View full group profile
NameSpecialtyState
Nurse PractitionerMI
Thoracic SurgeryMI
-MI
Orthopedic SurgeryMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
General PracticeMI

Reviews

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Frequently asked questions

Is BRITTANY LYNN KELLY listed with a National Provider Identifier?
Yes — BRITTANY LYNN KELLY has NPI 1124396809 on file in the registry.
Is BRITTANY LYNN KELLY still an active registrant?
BRITTANY LYNN KELLY carries an active NPI according to the public dataset.
What clinical focus is listed for BRITTANY LYNN KELLY?
At a glance, BRITTANY LYNN KELLY is tied to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRITTANY LYNN KELLY?
Travel planning: use Macomb, Michigan as the reference point for BRITTANY LYNN KELLY, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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