THERESA A KELLY CRNA
NPI 1003087776
Nurse Anesthetist, Certified Registered in Honesdale, PA
About Theresa A Kelly Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA A KELLY CRNA (NPI 1003087776) is an individual nurse anesthetist, certified registered in Honesdale, Pennsylvania, licensed in Pennsylvania (RN298133L) and active in the NPI registry since March 2008. She is affiliated with Wilkes-barre General Hospital and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theresa A Kelly Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Theresa Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Scranton, PA 18509
- Reassigned Medicare billing, Pennsylvania enrollment
- 22 clinicians in this Medicare group
Wilkes Barre, PA 18764
- Reassigned Medicare billing, Pennsylvania enrollment
- 151 clinicians in this Medicare group
Lewisburg, PA 17837
- Reassigned Medicare billing, Pennsylvania enrollment
- 303 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wilkes-Barre General Hospital
Acute Care Hospitals · Wilkes-Barre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18431 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HONESDALE, PA 18431
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theresa Kelly's NPI number?
The NPI number for Theresa Kelly is 1003087776. It was assigned to this individual provider in the NPPES registry on March 20, 2008.
Where is Theresa Kelly located?
Theresa Kelly practices at 601 Park St, Honesdale, PA 18431. The listed phone number is (570) 647-4381.
What is Theresa Kelly's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Theresa Kelly enrolled in Medicare?
Yes. Theresa Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Theresa Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Kelly reassigns Medicare benefits to 3 organizations: Gastrointestinal Consultants Of Nepa (Scranton, PA), 360 Anesthesia PLLC (Wilkes Barre, PA) and Evangelical Medical Services Organization (Lewisburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Theresa Kelly affiliated with any hospitals?
According to CMS data, Theresa Kelly is affiliated with Wilkes-Barre General Hospital.
When was this NPI record last updated?
The NPPES record for Theresa Kelly was last updated on October 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Theresa A Kelly, CRNA · NPI 1003087776
Nurse Anesthetist, Certified Registered physician in Honesdale, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 20, 2008.
## Identity
- **NPI:** 1003087776 (Entity type: Individual)
- **Enumerated:** March 20, 2008
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN298133L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 601 PARK ST, Honesdale, PA 18431-1445
- **Phone:** (570) 647-4381
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Gastrointestinal Consultants Of Nepa (NPI 1912905605, Scranton, PA); 360 Anesthesia PLLC (NPI 1811637366, Wilkes Barre, PA); Evangelical Medical Services Organization (NPI 1073613345, Lewisburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** October 26, 2011
- **Other identifiers:** Other P00952243 (PA); Medicare PIN 043077YETG (PA); Medicare PIN 043077 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1003087776) · Data from the CMS NPPES public registry.