MR. MICAH KELLUM CRNA
NPI 1124583430
Nurse Anesthetist, Certified Registered in Houston, TX
About Mr. Micah Kellum Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICAH KELLUM CRNA (NPI 1124583430) is an individual nurse anesthetist, certified registered in Houston, Texas, licensed in Texas (AP140431) and active in the NPI registry since January 2019. He is affiliated with Covenant Medical Center and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Mr. Micah Kellum 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 Micah Kellum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77042
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: U S Anesthesia Partners Of Texas, PA
- 3,804 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Texas enrollment
- 1,164 clinicians in this Medicare group
Lubbock, TX 79430
- Reassigned Medicare billing, Texas enrollment
- 685 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Covenant Medical Center
Acute Care Hospitals · Lubbock, TXLubbock Heart Hospital LP
Acute Care Hospitals · Lubbock, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77094 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.
HOUSTON, TX 77094
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 Micah Kellum's NPI number?
The NPI number for Micah Kellum is 1124583430. It was assigned to this individual provider in the NPPES registry on January 31, 2019.
Where is Micah Kellum located?
Micah Kellum practices at 18500 Katy Fwy, Houston, TX 77094. The listed phone number is (832) 522-1000.
What is Micah Kellum's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Micah Kellum enrolled in Medicare?
Yes. Micah Kellum 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 Micah Kellum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micah Kellum reassigns Medicare benefits to 3 organizations: U. S. Anesthesia Partners Of Texas, P.A., (Houston, TX), Northstar Anesthesia, PA (Arlington, TX) and Texas Tech University Health Sciences Center Lubbock (Lubbock, TX). 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 Micah Kellum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Micah Kellum accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and Molina Healthcare list Micah Kellum 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 Micah Kellum affiliated with any hospitals?
According to CMS data, Micah Kellum is affiliated with Covenant Medical Center and Lubbock Heart Hospital LP.
When was this NPI record last updated?
The NPPES record for Micah Kellum was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Micah Kellum, CRNA · NPI 1124583430
Nurse Anesthetist, Certified Registered physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since January 31, 2019.
## Identity
- **NPI:** 1124583430 (Entity type: Individual)
- **Enumerated:** January 31, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP140431 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 18500 KATY FWY, Houston, TX 77094-1110
- **Phone:** (832) 522-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): U. S. Anesthesia Partners Of Texas, P.A., (NPI 1548208564, Houston, TX); Northstar Anesthesia, PA (NPI 1912978610, Arlington, TX); Texas Tech University Health Sciences Center Lubbock (NPI 1063461358, Lubbock, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124583430) · Data from the CMS NPPES public registry.