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KELLY SHIVEL RUDD CRNA
NPI 1467898395
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Active since May 19, 2013Accepts Medicare Assignment
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(904) 308-7300 Get Directions Write a Review

NPPES record last updated: May 19, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Shivel Rudd Crna NPPES

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

KELLY SHIVEL RUDD CRNA (NPI 1467898395) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (9180092) and active in the NPI registry since May 2013. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1467898395
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELLY SHIVEL RUDDCredential: CRNA
Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748
Mailing Address2165 Herschel StJacksonville, FL 32204-3819 · (904) 387-4030
Phone(904) 308-7300
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMay 19, 2013
✔ NPI 1467898395 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 · 9180092
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.
1 SHIRCLIFF WAY, Jacksonville, FL 32204
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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 Shivel Rudd 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 ID9032358544
PECOS Enrollment IDI20130613000280

Medicare Billing Reassignment

Medicare enrollment records show Kelly Rudd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Florida Anesthesia Consultants Inc
0.4 mi
Anesthesiology
2731 PARK ST
Jacksonville, FL 32205
  • Reassigned Medicare billing, Florida enrollment
  • 177 clinicians in this Medicare group
NPI 1194397489 (954) 939-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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.

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.

COMPREHENSIVE CARE PARTNERS LLC
Surgery
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (352) 250-2650
DR. SARAH ANNE PISCITELLO CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 477-5855
MRS. JENNIFER ANNE ALLEN NP
Nurse Practitioner (Critical Care Medicine)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
MAX T BILLINGSLEY MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204
Duval County (904) 346-5426
TABITHA JAY GOLDEN CRNA
Nurse Anesthetist, Certified Registered
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (954) 939-5216
PAUL D LUCEY MD
Emergency Medicine
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
WILBUR L AUGENSTEIN MD
Emergency Medicine (Emergency Medical Services)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300
CHANEL WOOD MD
Radiology (Diagnostic Radiology)
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204
Duval County (904) 308-7300

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 Rudd's NPI number?

The NPI number for Kelly Rudd is 1467898395. It was assigned to this individual provider in the NPPES registry on May 19, 2013.

Where is Kelly Rudd located?

Kelly Rudd practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is Kelly Rudd's specialty?

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

Is Kelly Rudd enrolled in Medicare?

Yes. Kelly Rudd 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 organization bills Medicare for Kelly Rudd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Rudd reassigns Medicare benefits to North Florida Anesthesia Consultants Inc (Jacksonville, FL). The 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 Rudd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Rudd was last updated on May 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.