KELLY MARIE GRANGER
NPI 1265012504
Nurse Anesthetist, Certified Registered in West Palm Beach, FL

Q: What is Kelly Granger's NPI number?

The NPI number for Kelly Granger is 1265012504. It was assigned to this individual provider in the NPPES registry on April 12, 2021.

Q: What is Kelly Granger'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 Granger was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 12, 2021Accepts Medicare Assignment

1309 N FLAGLER DR, WEST PALM BEACH, FL 33401(561) 655-5511 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2023, Apr 12, 2021 (2 updates tracked since 2021).

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About Kelly Marie Granger NPPES

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

KELLY MARIE GRANGER (NPI 1265012504) is an individual nurse anesthetist, certified registered in West Palm Beach, Florida, licensed in Florida (144409) and active in the NPI registry since April 2021. She is affiliated with Good Samaritan Medical Center and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265012504

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameKELLY MARIE GRANGER

Location Address1309 N FLAGLER DRWest Palm Beach, FL 33401-3406

Mailing Address953 Laurel RdNorth Palm Beach, FL 33408-4020 · (561) 315-6644

Phone(561) 655-5511

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateApril 12, 2021

Last NPPES UpdateJune 13, 20232 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1265012504 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 FL · 144409

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.

1309 N FLAGLER DR, West Palm Beach, FL 33401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

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 Marie Granger 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 ID2264893080

PECOS Enrollment IDI20230726002604

Medicare Billing Reassignments

Medicare enrollment records show Kelly Granger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sheridan Healthcorp Inc

1.6 mi

Anesthesiology

1309 N FLAGLER DR
West Palm Beach, FL 33401

Reassigned Medicare billing, Florida enrollment
1,973 clinicians in this Medicare group

NPI 1275105710 (877) 328-1119

Jupiter Anesthesia Associates LLC

13 mi

Anesthesiology

224 CHIMNEY CORNER LN STE 1022
Jupiter, FL 33458

Reassigned Medicare billing, Florida enrollment
207 clinicians in this Medicare group

NPI 1003581398 (954) 939-5000

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

Areas of Expertise CMS Part B claims 4

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 procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

37 services37 patients

Anesthesia for total hip replacement 01214

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

24 services24 patients

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.

11 services11 patients

Anesthesia for other procedure on lower abdomen 00840

Anesthesia for a lower abdomen procedure involves medication to eliminate pain during surgery. You might be awake but relaxed and pain-free, or you may be completely unconscious. It's administered to ensure comfort and safety throughout the operation.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Medical Center

Acute Care Hospitals · West Palm Beach, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100287

Location1309 N Flagler DrWest Palm Beach, FL 33401 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33401 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

CARLA FAZIO APRN

Nurse Practitioner