JAMES KELLEY – Certified Registered Nurse Anesthetist, NPI 1710967120

JAMES KELLEY is a healthcare provider. based in Allison park, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. RN316540L (PA). The NPI Number for JAMES KELLEY is 1710967120

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
JAMES KELLEY
NPI
1710967120
Phone
Not provided
Address
4485 WILLIAM FLYNN HWY
Enumeration Date
20 January 2006
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4126476000
Graduation Year
2001 (25 years ago)
PAC ID
9335218221
Group Practice PAC ID
8729990239
Professional Enrollment ID
I20080519000350
Address ID
PA152133108PI300XXSTXX300

Contacts

Secure Messaging
upmchospitals@upmcdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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

Provider Addresses for JAMES KELLEY

  • 4485 WILLIAM FLYNN HWY

    SUITE 3

    ALLISON PARK, PA 151011424

    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)

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: 2008-05-19

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
I20080519000350ICertified 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 15101)

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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: 8729990239View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)PA
-PA
-PA
Cardiac Surgery, General SurgeryPA
Nurse PractitionerPA
-PA
-MD
-SC
-PA
-PA

Reviews

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Frequently asked questions

Where can patients find JAMES KELLEY's NPI?
You can confirm JAMES KELLEY with NPI 1710967120; it appears in the national provider directory.
Does this profile mean JAMES KELLEY is currently active?
Yes — JAMES KELLEY appears active in the national provider directory.
What does JAMES KELLEY treat or focus on?
Patients typically see JAMES KELLEY under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place JAMES KELLEY?
The snapshot lists Allison Park, Pennsylvania for JAMES KELLEY; download NPPES for the complete set.
Is JAMES KELLEY a real provider?
This page reflects official NPPES data for NPI 1710967120. Always confirm identity and privileges with the practice and licensing boards.

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