KELSEY SQUIRES LENNON CRNA
NPI 1063905867
Nurse Anesthetist, Certified Registered in Baltimore, MD

Active since June 07, 2018
4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-0100 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2023, Jul 15, 2022, Mar 17, 2020 (3 updates tracked since 2020).

About Kelsey Squires Lennon Crna NPPES

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

KELSEY SQUIRES LENNON CRNA (NPI 1063905867) is an individual nurse anesthetist, certified registered in Baltimore, Maryland, licensed in Maryland (AC004750) and active in the NPI registry since June 2018. She is affiliated with Luminis Health Anne Arundel Medical Center, Inc, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1063905867
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELSEY SQUIRES LENNONCredential: CRNA
Location Address4940 EASTERN AVEBaltimore, MD 21224-2735
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-6423 · Fax (410) 500-4266
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 7, 2018
Last NPPES UpdateFebruary 24, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1063905867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MD · AC004750✔ Licensed in SC · 21940
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.
4940 EASTERN AVE, Baltimore, MD 21224

Secondary Practice Locations 2

Location 17 Independence Pt Ste 300Greenville, SC 29615-4569 · Phone (864) 522-3700 · Fax (864) 522-3705
Location 2101 Reedy View Dr Apt 174Greenville, SC 29601-1827 · Phone (410) 949-0715

Other Identifiers 1

MedicaidPENDINGSC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Squires Lennon Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981955598
PECOS Enrollment IDI20221124000099, I20230123001078

Medicare Billing Reassignments

9

Medicare enrollment records show Kelsey Lennon reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
5501 HOPKINS BAYVIEW CIR, ROOM 1A20
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
Anesthesiology
827 LINDEN AVE
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: University Of Maryland Anesthesiology Associates PA
  • 303 clinicians in this Medicare group
Emergency Care
22 S GREENE ST
Baltimore, MD 21201
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Shock Trauma Associates PA
  • 541 clinicians in this Medicare group
Gastroenterology
700 GEIPE ROAD STE 230
Baltimore, MD 21228
  • Reassigned Medicare billing, Maryland enrollment
  • 96 clinicians in this Medicare group
Gastroenterology
1838 GREENE TREE RD, SUITE 400
Pikesville, MD 21208
  • Reassigned Medicare billing, Maryland enrollment
  • 103 clinicians in this Medicare group
Anesthesiology
820 BESTGATE RD, STE 2B
Annapolis, MD 21401
  • Reassigned Medicare billing, Maryland enrollment
  • 44 clinicians in this Medicare group
Anesthesiology
2002 MEDICAL PKWY STE 330
Annapolis, MD 21401
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 391 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
7350 VAN DUSEN RD, SUITE 230
Laurel, MD 20707
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Corridor Anesthesia, LLC
  • 39 clinicians in this Medicare group
Orthopaedic Surgery
1552 N LIMESTONE ST STE B
Gaffney, SC 29340
  • Reassigned Medicare billing, South Carolina enrollment
  • 814 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.

Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

University Of MD Medical Center Midtown Campus

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210038
Location827 Linden AvenueBaltimore, MD 21201 · Baltimore City County
Emergency services

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

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.

Internal Medicine
4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224
Otolaryngology
4940 EASTERN AVE
BALTIMORE, MD 21224
Physician Assistant
4940 EASTERN AVE
BALTIMORE, MD 21224
Pathology (Anatomic Pathology & Clinical Pathology)
4940 EASTERN AVE
BALTIMORE, MD 21224
Student in an Organized Health Care Education/Training Program
4940 EASTERN AVE
BALTIMORE, MD 21224
Obstetrics & Gynecology
4940 EASTERN AVE
BALTIMORE, MD 21224
Registered Nurse (Neonatal Intensive Care)
4940 EASTERN AVE
BALTIMORE, MD 21224
Surgery
4940 EASTERN AVE
BALTIMORE, MD 21224

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 Kelsey Lennon's NPI number?

The NPI number for Kelsey Lennon is 1063905867. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Kelsey Lennon located?

Kelsey Lennon practices at 4940 Eastern Ave, Baltimore, MD 21224. The listed phone number is (410) 550-0100.

What is Kelsey Lennon's specialty?

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

Is Kelsey Lennon enrolled in Medicare?

Yes. Kelsey Lennon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelsey Lennon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelsey Lennon reassigns Medicare benefits to 9 organizations: Johns Hopkins University (Baltimore, MD), University Of Maryland Anesthesiology Associates, P.A. (Baltimore, MD), Shock Trauma Associates, P.A. (Baltimore, MD), Digestive Disease Associates, LLC (Baltimore, MD), Lifebridge Community Gastroenterology, LLC (Pikesville, MD) and 4 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 Kelsey Lennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelsey Lennon affiliated with any hospitals?

According to CMS data, Kelsey Lennon is affiliated with Luminis Health Anne Arundel Medical Center, Inc, Johns Hopkins Bayview Medical Center, University Of MD Medical Center Midtown Campus and Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Kelsey Lennon was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.