MRS. KEELY MARIE DICKINSON CRNA
NPI 1306301171
Nurse Anesthetist, Certified Registered in Tampa, FL

Active since February 06, 2019Accepts Medicare Assignment
3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Keely Marie Dickinson Crna NPPES

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

MRS. KEELY MARIE DICKINSON CRNA (NPI 1306301171) is an individual nurse anesthetist, certified registered in Tampa, Florida, licensed in Florida (11001703) and active in the NPI registry since February 2019. She is affiliated with Morton Plant Hospital and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306301171
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. KEELY MARIE DICKINSONCredential: CRNA
Location Address3100 E FLETCHER AVETampa, FL 33613-4613
Mailing Address2729 Via Murano Unit 420Clearwater, FL 33764-3977 · (612) 986-4713
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 6, 2019
Last NPPES UpdateMarch 29, 2019
✔ NPI 1306301171 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 · 11001703
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.
3100 E FLETCHER AVE, Tampa, FL 33613

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

Mrs. Keely Marie Dickinson 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 ID1456694850
PECOS Enrollment IDI20190529001482

Medicare Billing Reassignments

7

Medicare enrollment records show Keely Dickinson reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain Medicine
3000 E FLETCHER AVE, SUITE 205
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,287 clinicians in this Medicare group
Anesthesiology
3100 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 749 clinicians in this Medicare group
Anesthesiology
4500 E FLETCHER AVE
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 176 clinicians in this Medicare group
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
Anesthesiology
900 CARILLON PKWY STE 205
St Petersburg, FL 33716
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Anesthesiologists Of Greater Orlando Inc
  • 530 clinicians in this Medicare group
Anesthesiology
2020 59TH ST W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 792 clinicians in this Medicare group
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 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.

Hospital Affiliations CMS Care Compare 3

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

Morton Plant Hospital

Acute Care Hospitals · Clearwater, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100127
Location300 Pinellas StClearwater, FL 33756 · Pinellas County
Emergency services Birthing friendly

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 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.

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.

Physical Therapist
3100 E FLETCHER AVE
TAMPA, FL 33613
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Student in an Organized Health Care Education/Training Program
3100 E FLETCHER AVE
TAMPA, FL 33613
Nurse Practitioner
3100 E FLETCHER AVE
TAMPA, FL 33613
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613

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 Keely Dickinson's NPI number?

The NPI number for Keely Dickinson is 1306301171. It was assigned to this individual provider in the NPPES registry on February 6, 2019.

Where is Keely Dickinson located?

Keely Dickinson practices at 3100 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (813) 971-6000.

What is Keely Dickinson's specialty?

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

Is Keely Dickinson enrolled in Medicare?

Yes. Keely Dickinson 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 Keely Dickinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keely Dickinson reassigns Medicare benefits to 7 organizations: Gulf-To-Bay Anesthesiology Associates LLC (Tampa, FL), Greater Florida Anesthesiologists, LLC (Tampa, FL), Northwood Anesthesia Associates LLC (Tampa, FL), Baycare Medical Group, Inc. (Clearwater, FL), Greater Florida Anesthesiologists, LLC (St Petersburg, FL) and 2 more organizations, 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 Keely Dickinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Keely Dickinson affiliated with any hospitals?

According to CMS data, Keely Dickinson is affiliated with Morton Plant Hospital, Adventhealth Tampa and Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Keely Dickinson was last updated on March 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.