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KELLY LYNN PIETAN CRNA
NPI 1336388982
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Active since February 05, 2009Accepts Medicare Assignment
80.25/100
CMS Quality Rating
655 W 8TH ST, UFJAX - DEPT. OF ANESTHESIOLOGY, JACKSONVILLE, FL 32209(904) 244-4195(904) 244-4908 Get Directions Write a Review

NPPES record last updated: December 23, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Lynn Pietan Crna NPPES

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

KELLY LYNN PIETAN CRNA (NPI 1336388982) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (ARNP9184815) and active in the NPI registry since February 2009. She is affiliated with Shands Jacksonville and is a graduate of Other (2008).

NPPES Registry Identity

NPI1336388982
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELLY LYNN PIETANCredential: CRNA
Location Address655 W 8TH ST, UFJAX - DEPT. OF ANESTHESIOLOGYJacksonville, FL 32209-6511
Mailing AddressPo Box 44008, Ufjp - Provider EnrollmentJacksonville, FL 32231-4008 · (904) 244-3199 · Fax (904) 244-3425
Phone(904) 244-4195
Fax(904) 244-4908
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateFebruary 5, 2009
Last NPPES UpdateDecember 23, 2015
✔ NPI 1336388982 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 · ARNP9184815
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.
655 W 8TH ST, Jacksonville, FL 32209
Open in Google Maps ↗

Other Identifiers 6

Medicare PINBL477ZFL
Medicaid602083230BGA
Medicaid602083230AGA
Medicaid602083230CFL
Medicaid0007980-00FL
Medicare PINP00768031FL

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 Lynn Pietan 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 ID5698832723
PECOS Enrollment IDI20090317000491

Medicare Billing Reassignments

8

Medicare enrollment records show Kelly Pietan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians Inc
Same address
Nephrology
655 W 8TH ST, UFJP NEPHROLOGY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1295995561 (904) 244-3660
North Florida Anesthesia Consultants Inc
2.5 mi
Anesthesiology
2001 COLLEGE ST
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 177 clinicians in this Medicare group
NPI 1255009296 (954) 939-5000
Jax Anesthesia Providers LLC
8.2 mi
Anesthesiology
4800 BELFORT RD
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 121 clinicians in this Medicare group
NPI 1245271154 (904) 483-5850
Fleming Island Anesthesia LLC
17 mi
Anesthesiology
1670 EAGLE HARBOR PKWY
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 876 clinicians in this Medicare group
NPI 1487945895 (904) 644-0700
Sunbelt Anesthesia Services, LLC
23 mi
Anesthesiology
690 MAJESTIC EAGLE DR
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 115 clinicians in this Medicare group
NPI 1205172079 (904) 412-2593
Us Anesthesia Partners Of Florida Inc.
119 mi
Anesthesiology
851 TRAFALGAR CT, SUITE 200E
Maitland, FL 32751
  • Reassigned Medicare billing, Florida enrollment
  • 2,356 clinicians in this Medicare group
NPI 1518910520 (321) 422-7155
Anesthesia Dynamics LLC
204 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
Quiescence Anesthesia LLC
207 mi
Nurse Anesthetist, Certified Registered
577 MULBERRY ST STE 110
Macon, GA 31201
  • Reassigned Medicare billing, Florida enrollment
  • 142 clinicians in this Medicare group
NPI 1942671805 (888) 728-0882

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

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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32209 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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.44
Improvement Activities40
Cost64.53

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
92%38 patients4/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
84%45 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. MATTHEW DUWAIN WARRICK M.D.
Anesthesiology
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-4195
DR. MARYAM OOJA ABUBAKAR MD, MPH
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3508
CHRISTOPHER FULLER PT, DPT
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
WILLIAM RENFRO PHARM. D.
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2179
CAM-TU NGUYEN PHARMD
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (352) 682-4355
LOGAN SMITH PHARMD
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (478) 387-5570
HANNAH BISOGLIO
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
DR. CARMELA MONTEIRO MD
Pathology (Anatomic Pathology)
655 W 8TH ST, UFJP PATHOLOGY DEPT
JACKSONVILLE, FL 32209
Duval County (904) 244-4699

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 Pietan's NPI number?

The NPI number for Kelly Pietan is 1336388982. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Kelly Pietan located?

Kelly Pietan practices at 655 W 8th St Ufjax - Dept. Of Anesthesiology, Jacksonville, FL 32209. The listed phone number is (904) 244-4195.

What is Kelly Pietan's specialty?

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

Is Kelly Pietan enrolled in Medicare?

Yes. Kelly Pietan 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 Pietan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pietan reassigns Medicare benefits to 8 organizations: University Of Florida Jacksonville Physicians Inc (Jacksonville, FL), North Florida Anesthesia Consultants Inc (Jacksonville, FL), Jax Anesthesia Providers LLC (Jacksonville, FL), Fleming Island Anesthesia LLC (Orange Park, FL), Sunbelt Anesthesia Services, LLC (Ponte Vedra, FL) and 3 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 Kelly Pietan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Pietan affiliated with any hospitals?

According to CMS data, Kelly Pietan is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Kelly Pietan was last updated on December 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.