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KELLY NICOLE LEWIS CRNA
NPI 1275813529
Nurse Anesthetist, Certified Registered in Tampa, FL

Active since August 18, 2011Accepts Medicare Assignment
89.43/100
CMS Quality Rating
12902 USF MAGNOLIA DR, TAMPA, FL 33612(813) 745-7467(813) 449-8618 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2026, Nov 7, 2016 (2 updates tracked since 2016).

About Kelly Nicole Lewis Crna NPPES

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

KELLY NICOLE LEWIS CRNA (NPI 1275813529) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (ARNP 9231943) and active in the NPI registry since August 2011. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1275813529
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELLY NICOLE LEWISCredential: CRNA
Location Address12902 USF MAGNOLIA DRTampa, FL 33612-9416
Mailing AddressPo Box 198441Atlanta, GA 30384-8441 · (813) 745-4673 · Fax (813) 449-8618
Phone(813) 745-7467
Fax(813) 449-8618
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateAugust 18, 2011
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
✔ NPI 1275813529 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 · ARNP 9231943
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.
12902 USF MAGNOLIA DR, Tampa, FL 33612
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Other Identifiers 1

Medicaid004321200FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.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 Nicole Lewis 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 ID7810162971
PECOS Enrollment IDI20111219000799

Medicare Billing Reassignments

6

Medicare enrollment records show Kelly Lewis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Same address
Hematology & Oncology
12902 USF MAGNOLIA DR
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 992 clinicians in this Medicare group
NPI 1306833595 (813) 745-4673
Gulf-To-Bay Anesthesiology Associates LLC
0.3 mi
Pain Medicine
3000 E FLETCHER AVE, SUITE 205
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,287 clinicians in this Medicare group
NPI 1215264478 (813) 253-2273
Sheridan Healthcorp, Inc
24 mi
Anesthesiology
701 6TH ST S
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 1,973 clinicians in this Medicare group
NPI 1295409696 (877) 328-1119
Anesthesia Dynamics LLC
40 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida enrollment
  • 1,887 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642
Srq Anesthesia LLC
53 mi
Nurse Anesthetist, Certified Registered
3325 S TAMIAMI TRL STE 100
Sarasota, FL 34239
  • Reassigned Medicare billing, Florida enrollment
  • 42 clinicians in this Medicare group
NPI 1447115977 (941) 552-3480
American Anesthesiology Services Of Florida, Inc.
1,015 mi
Anesthesiology
1305 WALT WHITMAN RD STE 300
Melville, NY 11747
  • Reassigned Medicare billing, Florida enrollment
  • 628 clinicians in this Medicare group
NPI 1508318387 (516) 945-3000

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 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 other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
29 services29 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33612 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.84
Promoting Interoperability100
Improvement Activities40

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.

DR. MICHAEL MARTIN WACH MD
Surgery
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-2916
ASTI ELIZABETH REGO APRN
Nurse Practitioner
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
MR. NIEMA BRANDON RAZAVIAN MD
Radiology (Radiation Oncology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (137) 457-3658
BRANDON HOLMES
Nurse Anesthetist, Certified Registered
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
FRANCES IVELISSE BERNARDO MERCADO PA-C
Physician Assistant
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
SADHVI BATRA MD
Obstetrics & Gynecology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-7365
JING WANG M.D.
Pathology (Anatomic Pathology)
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673
MR. MARC VINCENT MANACCI CRNA
Anesthesiology
12902 USF MAGNOLIA DR
TAMPA, FL 33612
Hillsborough County (813) 745-4673

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 Lewis's NPI number?

The NPI number for Kelly Lewis is 1275813529. It was assigned to this individual provider in the NPPES registry on August 18, 2011.

Where is Kelly Lewis located?

Kelly Lewis practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-7467.

What is Kelly Lewis's specialty?

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

Is Kelly Lewis enrolled in Medicare?

Yes. Kelly Lewis 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 organizations bill Medicare for Kelly Lewis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lewis reassigns Medicare benefits to 6 organizations: H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL), Gulf-To-Bay Anesthesiology Associates LLC (Tampa, FL), Sheridan Healthcorp, Inc (St Petersburg, FL), Anesthesia Dynamics LLC (Bradenton, FL), Srq Anesthesia LLC (Sarasota, FL) and 1 more organization, listed in the Medicare section above. 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 Lewis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Lewis accept?

Health plans from Oscar Health Maintenance Organization of Florida list Kelly Lewis 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 Lewis was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.