KELLY ROGERS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1104432079
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN
Provider Addresses for KELLY ROGERS (CRNA)
301 2ND ST NE
NEW PRAGUE, MN 560711709
Phone: (952) 758-4431
Fax: (763) 450-3986
Type: Location
200 Schilling Dr S
Dundas, MN 550194073
Phone: (612) 488-2248
Fax: (612) 488-2248
Type: Location
PO BOX 47159
PLYMOUTH, MN 554470159
Phone: (763) 559-3779
Fax: (763) 450-3986
Type: Mailing
14700 28TH AVE N STE 20
PLYMOUTH, MN 554474876
Phone: (763) 559-3779
Fax: (763) 450-3986
Type: Location
14700 28th Ave N Ste 20
Plymouth, MN 554474876
Phone: (763) 559-3779
Fax: (763) 450-3986
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2020-10-29
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201029002404 | I | Certified Registered Nurse Anesthetist (Crna) | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 21 | 20 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 21 | 21 | $0 |
| 00142 | Anesthesia for lens surgery | 11 | 11 | $0 |
Insurance plans in this area (ZIP 56071)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Family Practice | WI | |
| Physician Assistant | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.