MARK ALLEN KELLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1013313154

MARK ALLEN KELLEY (CRNA) is a healthcare provider. based in Franklin, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 19539 (TN). The NPI Number for MARK ALLEN KELLEY (CRNA) is 1013313154

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALLEN KELLEY (CRNA)
NPI
1013313154
Phone
(615) 480-3826
Address
411 GAMBREL ST
Enumeration Date
18 November 2014
Last Update Date
9 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6157914790
Graduation Year
2014 (12 years ago)
PAC ID
2466771357
Group Practice PAC ID
0042477705
Professional Enrollment ID
I20150428000847
Address ID
TN370676000FR4601XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for MARK ALLEN KELLEY (CRNA)

  • 411 GAMBREL ST

    FRANKLIN, TN 370678687

    Phone: (615) 480-3826

    Type: Mailing

  • 1818 ALBION ST

    NASHVILLE, TN 372082918

    Phone: (615) 341-4000

    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: 2015-04-28

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
I20150428000847ICertified Registered Nurse Anesthetist (Crna)TNTBD

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 37067)

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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: 0042477705View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)TN
-TN
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARK ALLEN KELLEY (CRNA)?
MARK ALLEN KELLEY (CRNA) — NPI 1013313154 — is the standard way to identify this listing.
Is MARK ALLEN KELLEY (CRNA) still practicing?
MARK ALLEN KELLEY (CRNA) is currently listed as active in the public NPI registry.
What is MARK ALLEN KELLEY (CRNA)'s primary classification?
Certified Registered Nurse Anesthetist is the headline specialty for MARK ALLEN KELLEY (CRNA) here. Clinical services aligned with this taxonomy classification.
Where is MARK ALLEN KELLEY (CRNA) based?
MARK ALLEN KELLEY (CRNA) is tied to Franklin, Tennessee in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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