WILLIAM KELLY CRNA
NPI 1306833637
Nurse Anesthetist, Certified Registered in Philadelphia, PA

Active since October 03, 2005PECOS Enrolled
2301 S BROAD ST, PHILADELPHIA, PA 19148(215) 952-9323(215) 952-1246 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About William Kelly Crna NPPES

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

WILLIAM KELLY CRNA (NPI 1306833637) is an individual nurse anesthetist, certified registered in Philadelphia, Pennsylvania, licensed in Pennsylvania (RN318961L) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306833637
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWILLIAM KELLYCredential: CRNA
Location Address2301 S BROAD STPhiladelphia, PA 19148-3542
Mailing Address2112 Aqueduct LaneCherry Hill, NJ 08002 · (856) 952-7455
Fax(215) 952-1246
Sole ProprietorYes
Enumeration DateOctober 3, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306833637 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 PA · RN318961L
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.
2301 S BROAD ST, Philadelphia, PA 19148

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Kelly Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

4

Medicare enrollment records show William Kelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
7 N CHRISTOPHER COLUMBUS BLVD STE 400
Philadelphia, PA 19106
  • Reassigned Medicare billing, New Jersey enrollment
  • 60 clinicians in this Medicare group
Anesthesiology
509 N BROAD ST, UNDERWOOD MEMORIAL HOSPITAL
Woodbury, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • 63 clinicians in this Medicare group
Urgent Care
602 W CUTHBERT BLVD UNIT 26 STE A
Haddon Township, NJ 08108
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
Anesthesiology
30 PROSPECT AVENUE
Hackensack, NJ 07601
  • Reassigned Medicare billing, New Jersey enrollment
  • 781 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19148 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

Hospitalist
2301 S BROAD ST
PHILADELPHIA, PA 19148
Pathology (Clinical Pathology/Laboratory Medicine)
2301 S BROAD ST
PHILADELPHIA, PA 19148
Pharmacy (Institutional Pharmacy)
2301 S BROAD ST
PHILADELPHIA, PA 19148
Physician Assistant
2301 S BROAD ST, SUITE 205
PHILADELPHIA, PA 19148
Surgery
2301 S BROAD ST, SUITE 201
PHILADELPHIA, PA 19148
Family Medicine
2301 S BROAD ST
PHILADELPHIA, PA 19148
Anesthesiology
2301 S BROAD ST
PHILADELPHIA, PA 19148
Nurse Anesthetist, Certified Registered
2301 S BROAD ST
PHILADELPHIA, PA 19148

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 William Kelly's NPI number?

The NPI number for William Kelly is 1306833637. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is William Kelly located?

William Kelly practices at 2301 S Broad St, Philadelphia, PA 19148. The listed phone number is (215) 952-9323.

What is William Kelly's specialty?

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

Is William Kelly enrolled in Medicare?

Yes. William Kelly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for William Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Kelly reassigns Medicare benefits to 4 organizations: Ultracare Anesthesia Partners LLC (Philadelphia, PA), South Jersey Anesthesia And Pain Physicians PC (Woodbury, NJ), Virtua Medical Group, PA (Haddon Township, NJ) and New Jersey Healthcare Specialists PC (Hackensack, NJ). 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 William Kelly'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 William Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.