KELLY MCREYNOLDS
NPI 1235815119
Nurse Anesthetist, Certified Registered in Oak Ridge, TN

Q: What is Kelly Mcreynolds's NPI number?

The NPI number for Kelly Mcreynolds is 1235815119. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Q: What is Kelly Mcreynolds'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 Mcreynolds was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 26, 2023Accepts Medicare Assignment

990 OAK RIDGE TPKE, OAK RIDGE, TN 37830(865) 835-1000 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kelly Mcreynolds NPPES

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

KELLY MCREYNOLDS (NPI 1235815119) is an individual nurse anesthetist, certified registered in Oak Ridge, Tennessee, licensed in Tennessee (0000231531) and active in the NPI registry since June 2023. She is affiliated with Methodist Medical Center Of Oak Ridge and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235815119

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKELLY MCREYNOLDS

Location Address990 OAK RIDGE TPKEOak Ridge, TN 37830-6976

Mailing Address204 Doughty DrKnoxville, TN 37918 · (423) 620-8136

Phone(865) 835-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 26, 2023

Last NPPES UpdateFebruary 2, 2026

NPPES CertifiedFebruary 2, 2026

✔ NPI 1235815119 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 TN · 0000231531

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.

990 OAK RIDGE TPKE, Oak Ridge, TN 37830

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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

Kelly Mcreynolds 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 ID5193209799

PECOS Enrollment IDI20260321000243

Medicare Billing Reassignment

Medicare enrollment records show Kelly Mcreynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Covenant Anesthesia Group, PC

Same address

Anesthesiology

990 OAK RIDGE TPKE, ANESTHESIA DEPT
Oak Ridge, TN 37830

Reassigned Medicare billing, Tennessee enrollment
289 clinicians in this Medicare group

NPI 1639148117 (865) 691-9000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Methodist Medical Center Of Oak Ridge

Acute Care Hospitals · Oak Ridge, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440034

Location990 Oak Ridge Turnpike Box 529Oak Ridge, TN 37830 · Anderson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37830 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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.

MRS. LAUREN WALRAVEN HOWELL R.D.

Dietitian, Registered

990 OAK RIDGE TPKE, FOOD AND NUTRITION SERVICES
OAK RIDGE, TN 37830

Anderson County (865) 835-4109

CHUKWUMA UMUNAKWE M.D.

Emergency Medicine