KEVIN KELLEY CRNA
NPI 1295813558
Nurse Anesthetist, Certified Registered in Weymouth, MA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
163 LIBBEY PARKWAY, SUITE 301, WEYMOUTH, MA 02189(781) 337-4224(781) 335-0429 Get Directions Write a Review

NPPES record last updated: May 27, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kevin Kelley Crna NPPES

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

KEVIN KELLEY CRNA (NPI 1295813558) is an individual nurse anesthetist, certified registered in Weymouth, Massachusetts, licensed in Massachusetts (43888) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Signature Healthcare Brockton Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1295813558
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameKEVIN KELLEYCredential: CRNA
Location Address163 LIBBEY PARKWAY, SUITE 301Weymouth, MA 02189-3118
Mailing Address163 Libbey Parkway, Suite 301Weymouth, MA 02189-3118 · (781) 337-4224 · Fax (781) 335-0429
Fax(781) 335-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 2, 2006
Last NPPES UpdateMay 27, 2008
✔ NPI 1295813558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MA · 43888
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 166534 (MA)
163 LIBBEY PARKWAY, Weymouth, MA 02189

Other Identifiers 3

Other430051213MA · Palmetto Gba
Medicare PINJX0883MA
Medicare PINJX2053MA

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

Kevin Kelley 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 ID9739088105
PECOS Enrollment IDI20040105000573
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Kelley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gastroenterology
1085 MAIN ST
South Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 93 clinicians in this Medicare group
Anesthesiology
680 CENTRE ST
Brockton, MA 02302
  • Reassigned Medicare billing, Massachusetts enrollment
  • 92 clinicians in this Medicare group
Diagnostic Radiology
199 REEDSDALE RD
Milton, MA 02186
  • Reassigned Medicare billing, Massachusetts enrollment
  • 556 clinicians in this Medicare group
Anesthesiology
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 332 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
78 FAUNCE CORNER RD UNIT 560
Dartmouth, MA 02747
  • Reassigned Medicare billing, Massachusetts enrollment
  • 79 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.

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 lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
134 services124 patients
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.
32 services32 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.
19 services19 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Signature Healthcare Brockton Hospital

Acute Care Hospitals · Brockton, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220052
Location680 Center StreetBrockton, MA 02302 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02189 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
163 LIBBEY PARKWAY, SUITE301
WEYMOUTH, MA 02189
Nurse Anesthetist, Certified Registered
163 LIBBEY PARKWAY, SUITE 301
WEYMOUTH, MA 02189
Nurse Anesthetist, Certified Registered
163 LIBBEY PARKWAY, SUITE 301
WEYMOUTH, MA 02189
Nurse Anesthetist, Certified Registered
163 LIBBEY PARKWAY, SUITE 301
WEYMOUTH, MA 02189
Occupational Therapist
163 LIBBEY PARKWAY, SUITE 302
WEYMOUTH, MA 02189
Nurse Anesthetist, Certified Registered
163 LIBBEY PARKWAY, SUITE 301
WEYMOUTH, MA 02189
Nurse Anesthetist, Certified Registered
163 LIBBEY PARKWAY, SUITE 301
WEYMOUTH, MA 02189
Nurse Anesthetist, Certified Registered
163 LIBBEY PARKWAY, SUITE 301
WEYMOUTH, MI 02189

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 Kevin Kelley's NPI number?

The NPI number for Kevin Kelley is 1295813558. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Kevin Kelley located?

Kevin Kelley practices at 163 Libbey Parkway Suite 301, Weymouth, MA 02189. The listed phone number is (781) 337-4224.

What is Kevin Kelley's specialty?

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

Is Kevin Kelley enrolled in Medicare?

Yes. Kevin Kelley 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 Kevin Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kelley reassigns Medicare benefits to 5 organizations: South Suburban Gastroenterology, PC (South Weymouth, MA), Matrix Anesthesia, PC (Brockton, MA), Associated Physicians Of Harvard Medical Faculty Physicians At Beth Is (Milton, MA), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and Anesthesia Professionals, Inc. (Dartmouth, MA). 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 Kevin Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Kelley affiliated with any hospitals?

According to CMS data, Kevin Kelley is affiliated with Signature Healthcare Brockton Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Kelley was last updated on May 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.