KELLI J LINN – Certified Registered Nurse Anesthetist, NPI 1083012645

KELLI J LINN is a healthcare provider. based in Youngstown, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. COA.16833-NA (OH). The NPI Number for KELLI J LINN is 1083012645

Main info

Female
Sole Proprietor
12 Years Of Experience
Name
KELLI J LINN
NPI
1083012645
Phone
Not provided
Address
3622 BELMONT AVE
Enumeration Date
15 December 2014
Last Update Date
27 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305260530
Graduation Year
2014 (12 years ago)
PAC ID
6305162256
Group Practice PAC ID
9638326432
Professional Enrollment ID
I20150313000980
Address ID
OH447182999CA4319XNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

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

Provider Addresses for KELLI J LINN

  • 3622 BELMONT AVE

    YOUNGSTOWN, OH 445051450

    Phone:

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Rayner Intraocular Lenses Limited ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-02

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: 2015-03-13

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
I20150313000980ICertified 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery110105$0
00811Anesthesia for other procedure on large bowel using an endoscope5353$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope4746$0
00813Anesthesia for procedure on small and large bowel using an endoscope3030$0
00145Anesthesia for retinal surgery1716$0
View full utilization report →

Insurance plans in this area (ZIP 44505)

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Provider's Procedures

KELLI J LINN performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOH00790Anesthesia for procedure in upper abdomen including use of an endoscope1212

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: 9638326432View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementOH
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YOH

Reviews

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Frequently asked questions

Is KELLI J LINN listed with a National Provider Identifier?
Yes — KELLI J LINN has NPI 1083012645 on file in the registry.
Is there an active status for KELLI J LINN?
For scheduling context, KELLI J LINN is shown as active in the registry.
What expertise is attributed to KELLI J LINN?
KELLI J LINN's specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is KELLI J LINN associated with Youngstown?
Public fields place KELLI J LINN around Youngstown, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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