KELLY CARRILLO CRNA
NPI 1063806214
Nurse Anesthetist, Certified Registered in Tucson, AZ
About Kelly Carrillo Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY CARRILLO CRNA (NPI 1063806214) is an individual nurse anesthetist, certified registered in Tucson, Arizona, licensed in Arizona (261429) and active in the NPI registry since March 2015. She is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Kelly Carrillo 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 Kelly Carrillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tucson, AZ 85719
- Reassigned Medicare billing, Arizona enrollment
- 86 clinicians in this Medicare group
Tucson, AZ 85712
- Reassigned Medicare billing, Arizona enrollment
- 18 clinicians in this Medicare group
Tucson, AZ 85712
- Reassigned Medicare billing, Arizona enrollment
- 264 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
TUCSON, AZ 85719
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 Kelly Carrillo's NPI number?
The NPI number for Kelly Carrillo is 1063806214. It was assigned to this individual provider in the NPPES registry on March 26, 2015. The provider is also known as Kelly Vroegh Rn.
Where is Kelly Carrillo located?
Kelly Carrillo practices at 1625 N Campbell Ave, Tucson, AZ 85719. The listed phone number is (520) 792-1450.
What is Kelly Carrillo's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelly Carrillo enrolled in Medicare?
Yes. Kelly Carrillo 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 Kelly Carrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Carrillo reassigns Medicare benefits to 3 organizations: Southern Arizona Anesthesia Services, PC (Tucson, AZ), Desert Sunrise Anesthesia PLLC (Tucson, AZ) and Ias Arizona PLLC (Tucson, AZ). 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 Kelly Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Carrillo accept?
Health plans from Blue Cross Blue Shield of Arizona list Kelly Carrillo 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.
When was this NPI record last updated?
The NPPES record for Kelly Carrillo was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Kelly Carrillo, CRNA · NPI 1063806214
Nurse Anesthetist, Certified Registered physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since March 26, 2015.
## Identity
- **NPI:** 1063806214 (Entity type: Individual)
- **Enumerated:** March 26, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 261429 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1625 N CAMPBELL AVE, Tucson, AZ 85719-4330
- **Phone:** (520) 792-1450
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern Arizona Anesthesia Services, PC (NPI 1912999343, Tucson, AZ); Desert Sunrise Anesthesia PLLC (NPI 1619562006, Tucson, AZ); Ias Arizona PLLC (NPI 1689359747, Tucson, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063806214) · Data from the CMS NPPES public registry.