KELLY ANSCHUTZ – Certified Registered Nurse Anesthetist, NPI 1689056327

KELLY ANSCHUTZ is a healthcare provider. based in Crestline, Ohio. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. COA.17357-NA (OH). The NPI Number for KELLY ANSCHUTZ is 1689056327

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KELLY ANSCHUTZ
NPI
1689056327
Phone
(419) 462-3328
Address
700 N COLUMBUS ST
Enumeration Date
18 June 2015
Last Update Date
18 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
2769792290
Group Practice PAC ID
1153301833
Professional Enrollment ID
I20151112000877
Address ID
OH430501440MO1330XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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

Provider Addresses for KELLY ANSCHUTZ

  • 700 N COLUMBUS ST

    CRESTLINE, OH 448271455

    Phone: (419) 462-3328

    Fax: (419) 462-4582

    Type: Mailing

  • 629 N SANDUSKY AVE

    BUCYRUS, OH 448201821

    Phone: (419) 563-9391

    Fax: (419) 563-9356

    Type: Location

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 $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($61).

Total Amount

$61

General + Research + Ownership

Payments

1

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2015-11-12

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
I20151112000877ICertified 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 surgery1918$0
00812Anesthesia for exam of colon using an endoscope1313$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 44827)

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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: 1153301833View full group profile
NameSpecialtyState
-OH
P O D I A T R YOH
Nurse PractitionerOH
Nurse PractitionerOH
Certified Registered Nurse Anesthetist (Crna)OH
Family PracticeOH
Family Practice, Obstetrics/GynecologyOH
-OH
-OH
Certified Nurse Midwife (Cnm)OH

Reviews

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Frequently asked questions

Does KELLY ANSCHUTZ share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY ANSCHUTZ uses 1689056327.
Is KELLY ANSCHUTZ listed as active for patients and plans?
The listing shows KELLY ANSCHUTZ as active in the NPI system.
What is KELLY ANSCHUTZ's primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for KELLY ANSCHUTZ here. Clinical services aligned with this taxonomy classification.
Where should I expect KELLY ANSCHUTZ on a map?
Expect Crestline, Ohio as a primary anchor for KELLY ANSCHUTZ unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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