BRYAN E KELLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1477722999

BRYAN E KELLEY (CRNA) is a healthcare provider. based in Marietta, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. APRN.CRNA.09859 (OH). The NPI Number for BRYAN E KELLEY (CRNA) is 1477722999

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN E KELLEY (CRNA)
NPI
1477722999
Phone
(740) 568-5427
Address
401 Matthew St
Enumeration Date
28 February 2008
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
7403741400
Graduation Year
2007 (19 years ago)
PAC ID
6901983154
Group Practice PAC ID
8224928965
Professional Enrollment ID
I20151222002529
Address ID
OH457501635MA401XXSTXX300

Contacts

Secure Messaging
anesthesia.providers@mmhs.medicity.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

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

Provider Addresses for BRYAN E KELLEY (CRNA)

  • 401 Matthew St

    Marietta, OH 457501635

    Phone: (740) 568-5427

    Fax: (740) 376-5073

    Type: Location

  • 1106 Colegate Dr

    Marietta, OH 457501323

    Phone: (740) 568-2000

    Fax: (740) 568-2094

    Type: Location

  • 1010 Refugee Rd

    Pickerington, OH 431479653

    Phone: (614) 884-0641

    Type: Location

  • 3180, Kettering Boulevard, Moraine, Montgomery County, Ohio, 45439, United States

    MORAINE, OH 454391924

    Phone: (937) 297-6072

    Fax: (937) 293-0969

    Type: Mailing

  • Good Samaritan Hospital, 375, Dixmyth Avenue, Clifton, Cincinnati, Hamilton County, Ohio, 45220, United States

    CINCINNATI, OH 452202475

    Phone: (513) 872-2432

    Fax: (513) 872-8857

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2024-02-22 • Largest payer in this snapshot: Mindray DS USA, Inc. ($40).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mindray DS USA, Inc.$40
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: 2015-12-22

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
I20151222002529ICertified 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 surgery4241$0
View full utilization report →

Insurance plans in this area (ZIP 45750)

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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: 8224928965View full group profile
NameSpecialtyState
Family PracticeOH
Nurse PractitionerOH
General Practice, Obstetrics/GynecologyOH
-OH
Family PracticeOH
Family PracticeOH
Nurse PractitionerOH
-OH
O B S T E T R I C S/ G Y N E C O L O G YMI
General SurgeryOH

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Frequently asked questions

What is the standard ID for BRYAN E KELLEY (CRNA) in the U.S.?
In the U.S., BRYAN E KELLEY (CRNA) is identified by NPI 1477722999.
Should I treat BRYAN E KELLEY (CRNA) as an active provider?
Patients and plans typically see BRYAN E KELLEY (CRNA) as active in the national extract.
Which specialty label fits BRYAN E KELLEY (CRNA)?
NPPES ties BRYAN E KELLEY (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BRYAN E KELLEY (CRNA)?
The directory associates BRYAN E KELLEY (CRNA) with Marietta, Ohio. Check all listed addresses for suites or satellite offices.
Can I export BRYAN E KELLEY (CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.