KELLY K BOLAND (CRNA) – Certified Registered Nurse Anesthetist, NPI 1770556391
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH
Provider Addresses for KELLY K BOLAND (CRNA)
1299 Industrial Pkwy N Ste 110
Brunswick, OH 442126366
Phone: (330) 225-6468
Type: Location
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
9614 OLD JOHNNYCAKE RIDGE RD
CONCORD TOWNSHIP, OH 440606521
Phone: (440) 205-1225
Type: Location
ONE GI CREDENTIALING DEPARTMENT
PO BOX 381468
GERMANTOWN, TN 381831468
Phone:
Type: Mailing
Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States
CLEVELAND, OH 441950001
Phone: (800) 223-2273
Type: Mailing
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 $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $16 |
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: 2007-11-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071105000362 | I | Certified Registered Nurse Anesthetist (Crna) | OH | 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 |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 55 | 55 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 27 | 27 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 26 | 26 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 16 | 16 | $0 |
Insurance plans in this area (ZIP 44212)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| Nurse Practitioner | TN | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| G A S T R O E N T E R O L O G Y | OH | |
| G A S T R O E N T E R O L O G Y | TN | |
| Physician Assistant | OH | |
| G A S T R O E N T E R O L O G Y | TN | |
| Nurse Practitioner | OH | |
| Internal Medicine, Gastroenterology | TN |
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