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KELLY N. CARROLL CRNA
NPI 1063815645
Nurse Anesthetist, Certified Registered in Loves Park, IL

Active since September 26, 2014Accepts Medicare Assignment
88.09/100
CMS Quality Rating
2202 HARLEM RD, LOVES PARK, IL 61111(815) 877-4848(815) 636-6125 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly N. Carroll Crna NPPES

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

KELLY N. CARROLL CRNA (NPI 1063815645) is an individual nurse anesthetist, certified registered in Loves Park, Illinois, licensed in Illinois (209.011923) and active in the NPI registry since September 2014. She is affiliated with Katherine Shaw Bethea Hospital and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063815645
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELLY N. CARROLLCredential: CRNA
Location Address2202 HARLEM RDLoves Park, IL 61111-2754
Mailing Address2202 Harlem RdLoves Park, IL 61111-2754 · (815) 877-4848 · Fax (815) 636-6125
Phone(815) 877-4848
Fax(815) 636-6125
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 26, 2014
Last NPPES UpdateMarch 28, 2017
✔ NPI 1063815645 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 IL · 209.011923
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 041.363284 (IL), 172314-30 (WI)
2202 HARLEM RD, Loves Park, IL 61111
Open in Google Maps ↗

Other Identifiers 2

OtherP01459217IL · Railroad Medicare
OtherF400175500IL · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly N. Carroll 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 ID9436371036
PECOS Enrollment IDI20141115000308

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.

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

Hospital Affiliations CMS Care Compare 3

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61111 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

88.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Improvement Activities40

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.

KATHLEEN M. SCHROEDER C.R.N.A.
Nurse Anesthetist, Certified Registered
2202 HARLEM RD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
DR. VINCENT J. QUINLAN M.D.
Anesthesiology
2202 HARLEM RD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
RITA K. BRAMLEY RN
Nurse Anesthetist, Certified Registered
2202 HARLEM RD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
DR. LENNEY G. KIZHAKEPUNNUR M.D.
Anesthesiology
2202 HARLEM RD, SUITE 200
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
DANIEL B CLAUNCH CRNA
Nurse Anesthetist, Certified Registered
2202 HARLEM RD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
DR. LISA P SOLOMON D.O.
Anesthesiology
2202 HARLEM RD, SUITE 200
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
DR. NATHAN J HAHN M.D.
Anesthesiology
2202 HARLEM RD, SUITE 200
LOVES PARK, IL 61111
Winnebago County (815) 877-4848
DR. STEVEN A. GUNDERSON D.O.
Anesthesiology
2202 HARLEM RD
LOVES PARK, IL 61111
Winnebago County (815) 877-4848

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 Carroll's NPI number?

The NPI number for Kelly Carroll is 1063815645. It was assigned to this individual provider in the NPPES registry on September 26, 2014.

Where is Kelly Carroll located?

Kelly Carroll practices at 2202 Harlem Rd, Loves Park, IL 61111. The listed phone number is (815) 877-4848.

What is Kelly Carroll's specialty?

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

Is Kelly Carroll enrolled in Medicare?

Yes. Kelly Carroll 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.

Is Kelly Carroll affiliated with any hospitals?

According to CMS data, Kelly Carroll is affiliated with Katherine Shaw Bethea Hospital, Fhn Memorial Hospital and Uw Health.

When was this NPI record last updated?

The NPPES record for Kelly Carroll was last updated on March 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.