KELLI PUPO (CRNA) – Certified Registered Nurse Anesthetist, NPI 1710984448
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA
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Provider Addresses for KELLI PUPO (CRNA)
411 BERRY LN
MEDIA, PA 190631160
Phone: (610) 566-5284
Type: Mailing
Bryn Mawr Avenue, Bryn Mawr, Youngstown, Mahoning County, Ohio, 44505, United States
FLOOR THREE
BRYN MAWR, PA 19010
Phone: (484) 337-3000
Fax: (610) 527-5102
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: 2004-02-26
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 |
|---|---|---|---|---|
| I20040226000647 | I | Certified Registered Nurse Anesthetist (Crna) | PA | 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 |
|---|---|---|---|---|
| 01402 | Anesthesia for procedure for total knee joint replacement | 22 | 22 | $0 |
Insurance plans in this area (ZIP 19063)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | PA | |
| - | PA | |
| Internal Medicine | PA | |
| Nurse Practitioner | PA | |
| N E U R O L O G Y | PA | |
| - | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA |
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