MICHAEL KELLY CRNA
NPI 1023400462
Nurse Anesthetist, Certified Registered in Boston, MA

Active since February 23, 2015PECOS EnrolledAccepts Medicare Assignment
91.13/100
CMS Quality Rating
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Kelly Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL KELLY CRNA (NPI 1023400462) is an individual nurse anesthetist, certified registered in Boston, Massachusetts, licensed in Massachusetts (RN274303) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with Lawrence General Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023400462
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL KELLYCredential: CRNA
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address202 Ashland StHolliston, MA 01746-1227
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 23, 2015
✔ NPI 1023400462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MA · RN274303
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN274303 (MA)
300 LONGWOOD AVE, Boston, MA 02115

Accepted Insurance

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

Michael 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.

PECOS PAC ID1254652977
PECOS Enrollment IDI20150608000283
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Michael Kelly reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
135 LAKE ST
Middleton, MA 01949
  • Reassigned Medicare billing, Massachusetts enrollment
  • 98 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
59 LOWES WAY
Lowell, MA 01851
  • Reassigned Medicare billing, Massachusetts enrollment
  • 60 clinicians in this Medicare group
Anesthesiology
295 VARNUM AVE
Lowell, MA 01854
  • Reassigned Medicare billing, Massachusetts enrollment
  • 123 clinicians in this Medicare group
Anesthesiology
14 PROSPECT ST
Milford, MA 01757
  • Reassigned Medicare billing, Massachusetts enrollment
  • 66 clinicians in this Medicare group
Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
Anesthesiology
300 GROVE ST
Worcester, MA 01605
  • Reassigned Medicare billing, Massachusetts enrollment
  • 57 clinicians in this Medicare group
Anesthesiology
363 HIGHLAND AVE
Fall River, MA 02720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 192 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
78 FAUNCE CORNER RD UNIT 560
Dartmouth, MA 02747
  • Reassigned Medicare billing, Massachusetts enrollment
  • 79 clinicians in this Medicare group
Anesthesiology
55 SAINT GEORGE RD
Springfield, MA 01104
  • Reassigned Medicare billing, Massachusetts enrollment
  • 38 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3550 MAIN ST STE 103
Springfield, MA 01107
  • Reassigned Medicare billing, Massachusetts enrollment
  • 56 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 2

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lawrence General Hospital

Acute Care Hospitals · Lawrence, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220010
LocationOne General StreetLawrence, MA 01842 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.94
Improvement Activities40
Cost79.7

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.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1023400462. It was assigned to this individual provider in the NPPES registry on February 23, 2015.

Where is Michael Kelly located?

Michael Kelly practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Michael Kelly's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Kelly enrolled in Medicare?

Yes. Michael 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 Michael Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kelly reassigns Medicare benefits to 10 organizations: Icon Anesthesia Services Of New England LLC (Middleton, MA), Lowell Anesthesia Associates PLLC (Lowell, MA), Lowell Anesthesiology Service, Inc. (Lowell, MA), Milford Anesthesia Consultants PC (Milford, MA), Umass Memorial Medical Group Inc (Worcester, MA) and 5 more organizations, listed in the Medicare section above. 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 Michael Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Kelly accept?

Health plans from Taro Health and WellSense Health Plan list Michael Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Kelly affiliated with any hospitals?

According to CMS data, Michael Kelly is affiliated with Lawrence General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kelly was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.