KENNETH JEROME BETLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1255344867

KENNETH JEROME BETLEY (CRNA) is a healthcare provider. based in Ann arbor, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704130400 (MI). The NPI Number for KENNETH JEROME BETLEY (CRNA) is 1255344867

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH JEROME BETLEY (CRNA)
NPI
1255344867
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
14 August 2006
Last Update Date
6 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344213300
Graduation Year
1990 (36 years ago)
PAC ID
7911895495
Group Practice PAC ID
1456841865
Professional Enrollment ID
I20040306000228
Address ID
MI486042804SA4599XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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Provider Addresses for KENNETH JEROME BETLEY (CRNA)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    1H247 UNIVERSITY HOSPITAL

    ANN ARBOR, MI 481095048

    Phone: (734) 936-4280

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $123.

Total Amount is formed as General ($123) + Research ($0) + Ownership ($0) = $123.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($42).

Total Amount

$123

General + Research + Ownership

Payments

6

Total payment records

General Amount

$123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-03-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040306000228ICertified 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope2929$0
00811Anesthesia for other procedure on large bowel using an endoscope2525$0
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 48108)

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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: 1456841865View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KENNETH JEROME BETLEY (CRNA)?
KENNETH JEROME BETLEY (CRNA) — NPI 1255344867 — is the standard way to identify this listing.
Does CMS list KENNETH JEROME BETLEY (CRNA) as active?
Yes — KENNETH JEROME BETLEY (CRNA) is active in the NPI listing used on this page.
What healthcare role does KENNETH JEROME BETLEY (CRNA) hold?
Scheduling teams often label KENNETH JEROME BETLEY (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does KENNETH JEROME BETLEY (CRNA) list a practice location?
Patients near Ann Arbor, Michigan may find KENNETH JEROME BETLEY (CRNA) in results; validate coverage separately.
Is the information about KENNETH JEROME BETLEY (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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