MRS. VICTORIA MARIE KELLEY (RN) – Certified Registered Nurse Anesthetist, NPI 1033476874

MRS. VICTORIA MARIE KELLEY (RN) is a healthcare provider. based in Garrettsville, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN. They hold a License No. APRN.CRNA.0020904 (OH). The NPI Number for MRS. VICTORIA MARIE KELLEY (RN) is 1033476874

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. VICTORIA MARIE KELLEY (RN)
NPI
1033476874
Phone
(330) 569-4963
Address
8213 CLOVER LN
Enumeration Date
18 April 2012
Last Update Date
12 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3302970811
Graduation Year
2023 (3 years ago)
PAC ID
8123473022
Group Practice PAC ID
4385771997
Professional Enrollment ID
I20231012002541
Address ID
OH442663929RA6847XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH

Provider Addresses for MRS. VICTORIA MARIE KELLEY (RN)

  • 8213 CLOVER LN

    GARRETTSVILLE, OH 442311060

    Phone: (330) 569-4963

    Type: Mailing

  • 6847 N CHESTNUT ST

    RAVENNA, OH 442663929

    Phone: (330) 569-4963

    Type: Location

  • 12557 RAVENWOOD DR

    CHARDON, OH 440249009

    Phone: (440) 285-3568

    Fax: (440) 285-4552

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($21).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-10-12

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
I20231012002541ICertified Registered Nurse Anesthetist (Crna)OHTBD

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 44231)

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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: 4385771997View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

What NPI should I save for MRS. VICTORIA MARIE KELLEY (RN)?
Save NPI 1033476874 if you need a stable reference for MRS. VICTORIA MARIE KELLEY (RN).
Is MRS. VICTORIA MARIE KELLEY (RN) active in the national directory?
MRS. VICTORIA MARIE KELLEY (RN)'s public NPI profile is in an active state.
Does MRS. VICTORIA MARIE KELLEY (RN) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MRS. VICTORIA MARIE KELLEY (RN). Clinical services aligned with this taxonomy classification.
Does MRS. VICTORIA MARIE KELLEY (RN) practice in Ohio?
You will see Garrettsville, Ohio on file for MRS. VICTORIA MARIE KELLEY (RN) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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