KELLY B SAMFORD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1447693858

KELLY B SAMFORD (CRNA) is a healthcare provider. based in Austin, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 698411 (TX). The NPI Number for KELLY B SAMFORD (CRNA) is 1447693858

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELLY B SAMFORD (CRNA)
NPI
1447693858
Phone
Not provided
Address
3705 MEDICAL PKWY
Enumeration Date
16 April 2013
Last Update Date
5 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5125328000
Graduation Year
2023 (3 years ago)
PAC ID
0446492201
Group Practice PAC ID
6305138603
Professional Enrollment ID
I20130808000162
Address ID
TX787451120AU4310XSTXX414

Contacts

Secure Messaging
ksamford1480853@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness95
Years active:13State licenses:1Other names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for KELLY B SAMFORD (CRNA)

  • 3705 MEDICAL PKWY

    SUITE 570

    AUSTIN, TX 787051019

    Phone:

    Fax: (512) 343-2745

    Type: Mailing

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-2111

    Fax: (512) 343-2745

    Type: Mailing

  • 810 W HIGHWAY 71

    MARBLE FALLS, TX 786548602

    Phone: (830) 201-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($90).

Total Amount

$132

General + Research + Ownership

Payments

5

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-08

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
I20130808000162ICertified Registered Nurse Anesthetist (Crna)TXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00812Anesthesia for exam of colon using an endoscope4949$0
00813Anesthesia for procedure on small and large bowel using an endoscope2828$0
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 78705)

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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: 6305138603View full group profile
NameSpecialtyState
-TX
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)OH
-TX
-CA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YCO

Reviews

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Frequently asked questions

Does KELLY B SAMFORD (CRNA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY B SAMFORD (CRNA) uses 1447693858.
Is KELLY B SAMFORD (CRNA) listed as active for patients and plans?
The listing shows KELLY B SAMFORD (CRNA) as active in the NPI system.
What healthcare role does KELLY B SAMFORD (CRNA) hold?
Scheduling teams often label KELLY B SAMFORD (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does KELLY B SAMFORD (CRNA) list a practice location?
Patients near Austin, Texas may find KELLY B SAMFORD (CRNA) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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