KELLY ELIZABETH FANTOZZI (CRNA) – Certified Registered Nurse Anesthetist, NPI 1982640728
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,883 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in VA
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Provider Addresses for KELLY ELIZABETH FANTOZZI (CRNA)
355, Crawford Street, Olde Towne Commons, Portsmouth, Virginia, 23704, United States
SUITE 808
PORTSMOUTH, VA 23704
Phone: (757) 399-7451
Fax: (757) 399-1158
Type: Mailing
Bon Secours Maryview Medical Center, 3636, High Street, Waterview Colonial Manor, Portsmouth, Virginia, 23707, United States
MARY VIEW MEDICAL CENTER
PORTSMOUTH, VA 23704
Phone: (757) 399-7461
Fax: (757) 399-1158
Type: Location
355 CRAWFORD ST STE 808
PORTSMOUTH, VA 237042825
Phone: (757) 399-7451
Fax: (757) 399-1158
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $27 |
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: 2006-04-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060407000516 | I | Certified Registered Nurse Anesthetist (Crna) | VA | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 26 | 24 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 17 | 17 | $0 |
Insurance plans in this area (ZIP 23704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | NC | |
| Anesthesiology, Pain Management | VA | |
| A N E S T H E S I O L O G Y | VA | |
| - | VA | |
| - | VA | |
| - | SC | |
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| A N E S T H E S I O L O G Y | VA | |
| A N E S T H E S I O L O G Y | MA |
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