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NANCY KELLY-CULBERSON CRNA
NPI 1245617273
Nurse Anesthetist, Certified Registered in Portland, OR

Active since April 28, 2015Accepts Medicare Assignment
10340 SW RIDGEVIEW LN, PORTLAND, OR 97219(310) 251-9801 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2022, May 21, 2020, Aug 20, 2016 (3 updates tracked since 2016).

About Nancy Kelly-culberson Crna NPPES

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

NANCY KELLY-CULBERSON CRNA (NPI 1245617273) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (202010485CRNA) and active in the NPI registry since April 2015. She is a graduate of Other (2015).

NPPES Registry Identity

NPI1245617273
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameNANCY KELLY-CULBERSONCredential: CRNA
Location Address10340 SW RIDGEVIEW LNPortland, OR 97219-6317
Mailing Address10340 Sw Ridgeview LnPortland, OR 97219-6317
Phone(310) 251-9801
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 28, 2015
Last NPPES UpdateFebruary 17, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1245617273 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 OR · 202010485CRNA
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.
10340 SW RIDGEVIEW LN, Portland, OR 97219
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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

Nancy Kelly-culberson 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 ID8628372406
PECOS Enrollment IDI20201224000054

Medicare Billing Reassignment

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

Beaverton Rehab & Specialty Care, LLC
5.2 mi
Skilled Nursing Facility
11850 SW ALLEN BLVD
Beaverton, OR 97005
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • 3,207 clinicians in this Medicare group
NPI 1366469330 (503) 646-7164

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97219 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

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 Nancy Kelly-culberson's NPI number?

The NPI number for Nancy Kelly-culberson is 1245617273. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Nancy Kelly-culberson located?

Nancy Kelly-culberson practices at 10340 SW Ridgeview Ln, Portland, OR 97219. The listed phone number is (310) 251-9801.

What is Nancy Kelly-culberson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nancy Kelly-culberson enrolled in Medicare?

Yes. Nancy Kelly-culberson 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 organization bills Medicare for Nancy Kelly-culberson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Kelly-culberson reassigns Medicare benefits to Beaverton Rehab & Specialty Care, LLC (Beaverton, OR). The 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 Nancy Kelly-culberson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nancy Kelly-culberson was last updated on February 17, 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.