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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: July 19, 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
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Other Identifiers 6

Medicare PINBL477ZFL
Medicaid602083230BGA
Medicaid602083230AGA
Medicaid602083230CFL
Medicaid0007980-00FL
Medicare PINP00768031FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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. GHAITH MITRI M.D.
Internal Medicine (Rheumatology)
655 W 8TH ST, UFJP RHEUMATOLOGY DEPT.
JACKSONVILLE, FL 32209
Duval County (904) 383-1005
DR. ALEXANDER SCOTT BERK M.D.
Emergency Medicine
655 W 8TH ST, UFJP EMERGENCY MEDICINE
JACKSONVILLE, FL 32209
Duval County (904) 244-6340
DR. KARL H.S. SMITH M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
655 W 8TH ST, UNIVERSITY OF FLORIDA CENTER FOR WOMEN
JACKSONVILLE, FL 32209
Duval County (904) 244-5626
DR. WOLF HEINRICH STAPELFELDT M.D.
Anesthesiology
655 W 8TH ST, UFJP ANESTHESIA DEPT.
JACKSONVILLE, FL 32209
Duval County (904) 244-5431
KATHLEEN KOPACH M.D.
Orthopaedic Surgery
655 W 8TH ST, UFJP ORTHOPEDICS
JACKSONVILLE, FL 32209
Duval County (904) 244-6224
JAIME R CALZADA M.D.
Anesthesiology
655 W 8TH ST, UFJP ANESTHESIA
JACKSONVILLE, FL 32209
Duval County (904) 244-4195
DR. HOLLIE JO HICKMAN D.O.
Surgery
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 633-0130
DR. GEORGE RICE WILSON III MD
Family Medicine
655 W 8TH ST, UFJP CHFM - 4TH FLOOR ACC
JACKSONVILLE, FL 32209
Duval County (904) 244-5121

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.

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 with the weekly NPPES data releases published by CMS.