DR. ANNA C KELLY (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1679799209

DR. ANNA C KELLY (MD) is a healthcare provider. based in La crosse, Wisconsin. specializing in ANESTHESIOLOGY, PREVENTIVE MEDICINE, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 034624 (GA). The NPI Number for DR. ANNA C KELLY (MD) is 1679799209

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNA C KELLY (MD)
NPI
1679799209
Phone
(608) 782-7300
Address
1836 SOUTH AVE
Enumeration Date
18 April 2007
Last Update Date
16 November 2023

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8436679414
Graduation Year
1989 (37 years ago)
PAC ID
2567587074
Group Practice PAC ID
4082510623
Professional Enrollment ID
I20180917001582
Address ID
SC295012808FL360XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,266 ANESTHESIOLOGY in WI

Provider Addresses for DR. ANNA C KELLY (MD)

  • 1836 SOUTH AVE

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • 360 N IRBY ST

    FLORENCE, SC 295012808

    Phone: (843) 667-9414

    Fax: (843) 407-9726

    Type: Mailing

  • 600 E PALMETTO ST

    FLORENCE, SC 295062851

    Phone: (843) 667-9414

    Fax: (843) 407-9726

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $590.

Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($210).

Total Amount

$590

General + Research + Ownership

Payments

31

Total payment records

General Amount

$590

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2023-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180917001582IPreventive MedicineWITBD
I20231120000534IAnesthesiologySCTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes3011$0
80305Testing for presence of drug, read by direct observation1515$0
View full utilization report →

Insurance plans in this area (ZIP 54601)

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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: 4082510623View full group profile
NameSpecialtyState
R H E U M A T O L O G YSC
Family PracticeSC
Family PracticeSC
-SC
H O S P I T A L I S TSC
-SC
Rheumatology, Internal MedicineSC
Nurse PractitionerSC
Nurse PractitionerSC
Mental Health CounselorSC

Reviews

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Frequently asked questions

Can I verify DR. ANNA C KELLY (MD) with an NPI only?
You can start verification with NPI 1679799209 for DR. ANNA C KELLY (MD), then check state licensing separately.
Does CMS list DR. ANNA C KELLY (MD) as active?
Yes — DR. ANNA C KELLY (MD) is active in the NPI listing used on this page.
What is DR. ANNA C KELLY (MD)'s primary classification?
Pain Medicine (Anesthesiology) Physician is the headline specialty for DR. ANNA C KELLY (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANNA C KELLY (MD)?
DR. ANNA C KELLY (MD)'s geographic hint is La Crosse, Wisconsin in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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