KELLY LYNN SAMPSON CRNA
NPI 1184074254
Nurse Anesthetist, Certified Registered in Bryan, TX

Q: What is Kelly Sampson's NPI number?

The NPI number for Kelly Sampson is 1184074254. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Q: What is Kelly Sampson'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 Sampson was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 20, 2016Accepts Medicare Assignment

1737 BRIARCREST DR, SUITE 14, BRYAN, TX 77802(979) 776-4777(979) 776-0588 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Mar 21, 2017, Jun 20, 2016 (3 updates tracked since 2016).

On this page

About Kelly Lynn Sampson Crna NPPES

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

KELLY LYNN SAMPSON CRNA (NPI 1184074254) is an individual nurse anesthetist, certified registered in Bryan, Texas, licensed in Texas (AP131705) and active in the NPI registry since June 2016. She is affiliated with Chi St Joseph Health Regional Hospital, maintains a secondary practice location in College Station, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184074254

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKELLY LYNN SAMPSONCredential: CRNA

Location Address1737 BRIARCREST DR, SUITE 14Bryan, TX 77802-2769

Mailing Address1737 Briarcrest Dr, Suite 14Bryan, TX 77802-2769 · (979) 776-4777 · Fax (979) 776-0588

Phone(979) 776-4777

Fax(979) 776-0588

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJune 20, 2016

Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration

NPPES CertifiedAugust 14, 2024

✔ NPI 1184074254 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 TX · AP131705

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.

1737 BRIARCREST DR, Bryan, TX 77802

Open in Google Maps ↗

Secondary Practice Location 1

Location 1700 Scott and White DrCollege Station, TX 77845-6441 · Phone (979) 207-0100 · Fax (979) 207-2161

Other Identifiers 1

Medicaid361898501TX

Accepted Insurance

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

Kelly Lynn Sampson 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 ID9335435726

PECOS Enrollment IDI20160912001058

Areas of Expertise CMS Part B claims 2

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 extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

24 services24 patients

Anesthesia for other procedure on lower spine 00630

Anesthesia for a lower spine procedure involves administering medication to block pain and sensation in your back. This ensures comfort and stillness during the procedure. The type of anesthesia used depends on the specific procedure and your overall health.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450011

Location2801 Franciscan DrBryan, TX 77802 · Brazos County

Emergency services Birthing friendly

Baylor Scott & White Medical Center- College Stati

Acute Care Hospitals · College Station, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670088

Location700 Scott & White DriveCollege Station, TX 77845 · Brazos County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77802 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

Leave this field empty

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.

SHELLY RENE ERIKSSON CRNA

Nurse Anesthetist, Certified Registered