DR. KELLEY TENNANT DNAP, CRNA
NPI 1104474733
Nurse Anesthetist, Certified Registered in Phoenix, AZ

Q: What is Kelley Tennant's NPI number?

The NPI number for Kelley Tennant is 1104474733. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Q: What is Kelley Tennant's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelley Tennant was last updated on March 25, 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.

Active since August 27, 2019Accepts Medicare Assignment

69.44/100

CMS Quality Rating

645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012(602) 262-8900(602) 262-8890 Get Directions Write a Review

NPPES record last updated: March 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2023, Sep 5, 2020, Dec 16, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Kelley Tennant Dnap, Crna NPPES

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

DR. KELLEY TENNANT DNAP, CRNA (NPI 1104474733) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (233829) and active in the NPI registry since August 2019. She maintains a secondary practice location in Gilbert and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104474733

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameDR. KELLEY TENNANTCredential: DNAP, CRNA

Location Address645 E MISSOURI AVE STE 300Phoenix, AZ 85012-1351

Mailing Address645 E Missouri Ave Ste 300Phoenix, AZ 85012-1351 · (602) 262-8900 · Fax (602) 262-8890

Phone(602) 262-8900

Fax(602) 262-8890

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 27, 2019

Last NPPES UpdateMarch 25, 20234 updates tracked since enumeration

NPPES CertifiedMarch 25, 2023

✔ NPI 1104474733 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

License✔ Licensed in AZ · 233829

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.

645 E MISSOURI AVE STE 300, Phoenix, AZ 85012

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Secondary Practice Location 1

Location 11900 N Higley RdGilbert, AZ 85234-1604 · Phone (480) 543-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Dr. Kelley Tennant Dnap, 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 ID9931431707

PECOS Enrollment IDI20191028002273

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.

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.

79 services79 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

25 services25 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

24 services24 patients

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.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

69.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.33

Improvement Activities

Cost

69.53

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.

BETH MARIE RANNEY MD

Emergency Medicine