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MR. TIMOTHY KELLEY CRNA
NPI 1376501395
Nurse Anesthetist, Certified Registered in Memphis, TN

Active since May 01, 2006Accepts Medicare Assignment
77.5/100
CMS Quality Rating
877 JEFFERSON AVE, MEMPHIS, TN 38103(901) 448-5893(901) 448-5540 Get Directions Write a Review

NPPES record last updated: June 30, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Timothy Kelley Crna NPPES

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

MR. TIMOTHY KELLEY CRNA (NPI 1376501395) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Tennessee (10994) and active in the NPI registry since May 2006. He is affiliated with Mercy Hospital Southeast and is a graduate of Other (2003).

NPPES Registry Identity

NPI1376501395
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. TIMOTHY KELLEYCredential: CRNA
Location Address877 JEFFERSON AVEMemphis, TN 38103-2807
Mailing Address877 Jefferson Ave, Attn: Provider EnrollmentMemphis, TN 38103-2807
Phone(901) 448-5893
Fax(901) 448-5540
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 1, 2006
Last NPPES UpdateJune 30, 2016
✔ NPI 1376501395 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 TN · 10994
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.
877 JEFFERSON AVE, Memphis, TN 38103
Open in Google Maps ↗

Other Identifiers 1

Medicaid3628056TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

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

Mr. Timothy Kelley 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 ID143214254
PECOS Enrollment IDI20231117002310

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.
18 services18 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.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38103 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

MIMILY HARSONO MD
Pediatrics (Neonatal-Perinatal Medicine)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Shelby County (901) 545-7100
JESSICA DORAN DNP, CRNA
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Shelby County (901) 448-5893
SHELBY COUNTY HEALTH CARE CORPORATION
Skilled Nursing Facility
877 JEFFERSON AVE, 3RD FLOOR, ADAMS PAVILION
MEMPHIS, TN 38103
Shelby County (901) 515-4300
EDSON RUIZ MD
Pediatrics (Neonatal-Perinatal Medicine)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Shelby County (901) 448-5950
MS. MARLA GIDDENS CRNA
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Shelby County (901) 545-7100
MARY BETH HALL-KRASNOVE FNP
Nurse Practitioner (Family)
877 JEFFERSON AVE
MEMPHIS, TN 38103
Shelby County (901) 545-8090
MEGAN TALLEY
Dietitian, Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Shelby County (901) 545-7753
COURTNEY H PARKER CRNA
Nurse Anesthetist, Certified Registered
877 JEFFERSON AVE
MEMPHIS, TN 38103
Shelby County (901) 545-7100

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 Timothy Kelley's NPI number?

The NPI number for Timothy Kelley is 1376501395. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Timothy Kelley located?

Timothy Kelley practices at 877 Jefferson Ave, Memphis, TN 38103. The listed phone number is (901) 448-5893.

What is Timothy Kelley's specialty?

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

Is Timothy Kelley enrolled in Medicare?

Yes. Timothy Kelley 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.

What insurance does Timothy Kelley accept?

Health plans from Oscar Insurance Company list Timothy Kelley 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 Timothy Kelley affiliated with any hospitals?

According to CMS data, Timothy Kelley is affiliated with Mercy Hospital Southeast.

When was this NPI record last updated?

The NPPES record for Timothy Kelley was last updated on June 30, 2016. 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.