THERESA A KELLY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1003087776

THERESA A KELLY (CRNA) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN298133L (PA). The NPI Number for THERESA A KELLY (CRNA) is 1003087776

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
THERESA A KELLY (CRNA)
NPI
1003087776
Phone
(570) 647-4381
Address
PO BOX 49
Enumeration Date
20 March 2008
Last Update Date
26 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5708298111
Graduation Year
2000 (26 years ago)
PAC ID
4082668660
Group Practice PAC ID
5991184863
Professional Enrollment ID
I20050307000370
Address ID
PA187640999WI575XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for THERESA A KELLY (CRNA)

  • PO BOX 49

    PITTSBURGH, PA 152300049

    Phone: (570) 647-4381

    Type: Mailing

  • Wayne Memorial Hospital, 601, Park Street, Honesdale, Wayne County, Pennsylvania, 18431, United States

    HONESDALE, PA 184311445

    Phone: (570) 647-4381

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-07

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
I20050307000370ICertified Registered Nurse Anesthetist (Crna)PATBD

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 15230)

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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: 5991184863View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IL
Pain Management, AnesthesiologyPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)VA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA

Reviews

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Frequently asked questions

Does THERESA A KELLY (CRNA) have a public NPI I can cite?
Public records show THERESA A KELLY (CRNA) under NPI 1003087776.
Is THERESA A KELLY (CRNA)'s NPI status active today?
Active status means THERESA A KELLY (CRNA)'s NPI record is not deactivated in the public file.
How should patients interpret THERESA A KELLY (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for THERESA A KELLY (CRNA). Clinical services aligned with this taxonomy classification.
Which community is linked to THERESA A KELLY (CRNA)?
THERESA A KELLY (CRNA) shows a connection to Pittsburgh, Pennsylvania in registry-derived data.
Who maintains THERESA A KELLY (CRNA)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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