KELLY M MONTAINE CRNA
NPI 1174904528
Nurse Anesthetist, Certified Registered in Milwaukee, WI

Q: What is Kelly Montaine's NPI number?

The NPI number for Kelly Montaine is 1174904528. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Q: What is Kelly Montaine'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 Kelly Montaine was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 11, 2015Accepts Medicare Assignment

82.39/100

CMS Quality Rating

3237 S 16TH ST, MILWAUKEE, WI 53215(414) 290-6720(414) 290-6755 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 30, 2021, Nov 4, 2019 (2 updates tracked since 2019).

On this page

About Kelly M Montaine Crna NPPES

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

KELLY M MONTAINE CRNA (NPI 1174904528) is an individual nurse anesthetist, certified registered in Milwaukee, Wisconsin, licensed in Wisconsin (6402-33) and active in the NPI registry since June 2015. She is affiliated with Mercyone Des Moines Medical Center and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2015).

NPPES Registry Identity

NPI1174904528

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKELLY M MONTAINECredential: CRNA

Location Address3237 S 16TH STMilwaukee, WI 53215-4526

Mailing Address111 E Wisconsin Ave, Suite 2000Milwaukee, WI 53202-4815 · (414) 290-6720 · Fax (414) 290-6755

Phone(414) 290-6720

Fax(414) 290-6755

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2015

Enumeration DateJune 11, 2015

Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1174904528 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 WI · 6402-33✔ Licensed in IA · D188460

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.

3237 S 16TH ST, Milwaukee, WI 53215

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Other Identifiers 1

Medicaid1174904528WI

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 M Montaine 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 ID4486966363

PECOS Enrollment IDI20150707000712, I20260307000394

Hospital Affiliations CMS Care Compare 4

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160083

Location1111 6th AveDes Moines, IA 50314 · Polk County

Emergency services Birthing friendly

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520063

Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County

Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520103

LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County

Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520177

Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

82.39/100

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

Scored as part of a group practice

Quality

77.88

Promoting Interoperability

Improvement Activities

Cost

74.38

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

99%234 patients4/55-star benchmark: 100%

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

11%294 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MICHAEL SEAN STIEWE PHARMD

Pharmacist