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KELLEY MCCARTHY
NPI 1316614472
Nurse Anesthetist, Certified Registered in Greendale, WI

Active since August 26, 2021PECOS EnrolledAccepts Medicare Assignment
5332 MANSFIELD DR, GREENDALE, WI 53129(920) 858-6453 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2023, Aug 26, 2021 (2 updates tracked since 2021).

About Kelley Mccarthy NPPES

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

KELLEY MCCARTHY (NPI 1316614472) is an individual nurse anesthetist, certified registered in Greendale, Wisconsin, licensed in Wisconsin (232136) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1316614472
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELLEY MCCARTHY
Location Address5332 MANSFIELD DRGreendale, WI 53129-1221
Mailing Address5332 Mansfield DrGreendale, WI 53129-1221 · (920) 858-6453
Phone(920) 858-6453
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 26, 2021
Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration
NPPES CertifiedAugust 18, 2025
✔ NPI 1316614472 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 WI · 232136
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 236126-30 (WI)
5332 MANSFIELD DR, Greendale, WI 53129
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Other Identifiers 1

Medicaid100244228WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).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

Kelley Mccarthy 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 ID6901267806
PECOS Enrollment IDI20230725001040
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

3

Medicare enrollment records show Kelley Mccarthy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aurora Medical Group, Inc.
3.7 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Racine Anesthesia Services, LLC
17 mi
Anesthesiology
3801 SPRING ST
Mount Pleasant, WI 53405
  • Reassigned Medicare billing, Wisconsin enrollment
  • 162 clinicians in this Medicare group
NPI 1467782748 (262) 687-4011
Association Of Hospital Anesthesiologists Sc
89 mi
Anesthesiology
130 2ND ST, STE. A107
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 144 clinicians in this Medicare group
NPI 1720076474 (920) 729-3332

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 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.
13 services13 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53129 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Kelley Mccarthy's NPI number?

The NPI number for Kelley Mccarthy is 1316614472. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Kelley Mccarthy located?

Kelley Mccarthy practices at 5332 Mansfield Dr, Greendale, WI 53129. The listed phone number is (920) 858-6453.

What is Kelley Mccarthy's specialty?

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

Is Kelley Mccarthy enrolled in Medicare?

Yes. Kelley Mccarthy 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 Kelley Mccarthy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Mccarthy reassigns Medicare benefits to 3 organizations: Aurora Medical Group, Inc. (Milwaukee, WI), Racine Anesthesia Services, LLC (Mount Pleasant, WI) and Association Of Hospital Anesthesiologists Sc (Neenah, WI). 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 Kelley Mccarthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelley Mccarthy accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Kelley Mccarthy 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.

Is Kelley Mccarthy affiliated with any hospitals?

According to CMS data, Kelley Mccarthy is affiliated with Aurora Health Care Central Inc and Thedacare Regional Med Ctr - Neenah.

When was this NPI record last updated?

The NPPES record for Kelley Mccarthy was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.