ZACHARY T KELLY
NPI 1407327273
Nurse Anesthetist, Certified Registered in Sumter, SC

Active since December 05, 2018Accepts Medicare Assignment
129 N WASHINGTON ST, SUMTER, SC 29150(803) 774-9000 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Zachary T Kelly NPPES

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

ZACHARY T KELLY (NPI 1407327273) is an individual nurse anesthetist, certified registered in Sumter, South Carolina, licensed in South Carolina (225946) and active in the NPI registry since December 2018. He is affiliated with Prisma Health Tuomey Hospital and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407327273
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameZACHARY T KELLY
Location Address129 N WASHINGTON STSumter, SC 29150-4949
Mailing Address1925 Adirondack CtSumter, SC 29153-8313 · (803) 420-6576
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 5, 2018
✔ NPI 1407327273 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 SC · 225946
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.
129 N WASHINGTON ST, Sumter, SC 29150

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

Zachary T Kelly 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 ID6709123474
PECOS Enrollment IDI20190204001891

Medicare Billing Reassignments

2

Medicare enrollment records show Zachary Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
129 N WASHINGTON ST
Sumter, SC 29150
  • Reassigned Medicare billing, South Carolina enrollment
  • 99 clinicians in this Medicare group
Anesthesiology
1330 TAYLOR ST
Columbia, SC 29201
  • Reassigned Medicare billing, South Carolina enrollment
  • 3,281 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.

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 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

Hospital Affiliations CMS Care Compare

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

Prisma Health Tuomey Hospital

Acute Care Hospitals · Sumter, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420070
Location129 N Washington StSumter, SC 29150 · Sumter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29150 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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
129 N WASHINGTON ST
SUMTER, SC 29150
Nurse Anesthetist, Certified Registered
129 N WASHINGTON ST
SUMTER, SC 29150
Emergency Medicine
129 N WASHINGTON ST
SUMTER, SC 29150
Hospitalist
129 N WASHINGTON ST
SUMTER, SC 29150
Internal Medicine
129 N WASHINGTON ST
SUMTER, SC 29150
Emergency Medicine
129 N WASHINGTON ST
SUMTER, SC 29150
General Acute Care Hospital
129 N WASHINGTON ST
SUMTER, SC 29150
Family Medicine
129 N WASHINGTON ST
SUMTER, SC 29150

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 Zachary Kelly's NPI number?

The NPI number for Zachary Kelly is 1407327273. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Zachary Kelly located?

Zachary Kelly practices at 129 N Washington St, Sumter, SC 29150. The listed phone number is (803) 774-9000.

What is Zachary Kelly's specialty?

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

Is Zachary Kelly enrolled in Medicare?

Yes. Zachary Kelly 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 Zachary Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zachary Kelly reassigns Medicare benefits to 2 organizations: Prisma Health Tuomey (Sumter, SC) and Prisma Health University Medical Group (Columbia, SC). 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 Zachary Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Zachary Kelly affiliated with any hospitals?

According to CMS data, Zachary Kelly is affiliated with Prisma Health Tuomey Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Kelly was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.