MS. KELLY ROSE PUCILLO CRNA
NPI 1194362939
Nurse Anesthetist, Certified Registered in Philadelphia, PA
About Ms. Kelly Rose Pucillo Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY ROSE PUCILLO CRNA (NPI 1194362939) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (128588) and active in the NPI registry since November 2019.
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 (PECOS)
Ms. Kelly Rose Pucillo Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Pucillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
Chadds Ford, PA 19317
- Reassigned Medicare billing, Pennsylvania enrollment
- 251 clinicians in this Medicare group
Lancaster, PA 17601
- Reassigned Medicare billing, Pennsylvania enrollment
- 267 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.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Kelly Pucillo's NPI number?
The NPI number for Kelly Pucillo is 1194362939. It was assigned to this individual provider in the NPPES registry on November 27, 2019.
Where is Kelly Pucillo located?
Kelly Pucillo practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5000.
What is Kelly Pucillo's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelly Pucillo enrolled in Medicare?
Yes. Kelly Pucillo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelly Pucillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pucillo reassigns Medicare benefits to 3 organizations: Stc Pediatrics LLC (Philadelphia, PA), Associates In Anesthesia, Inc. (Chadds Ford, PA) and Rgal Anesthesia Services LLC (Lancaster, PA). 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 Kelly Pucillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Pucillo accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kelly Pucillo 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.
When was this NPI record last updated?
The NPPES record for Kelly Pucillo was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Kelly Rose Pucillo, CRNA · NPI 1194362939
Nurse Anesthetist, Certified Registered physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 27, 2019.
## Identity
- **NPI:** 1194362939 (Entity type: Individual)
- **Enumerated:** November 27, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 128588 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA); Associates In Anesthesia, Inc. (NPI 1942281191, Chadds Ford, PA); Rgal Anesthesia Services LLC (NPI 1699055251, Lancaster, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 27, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1194362939) · Data from the CMS NPPES public registry.