LACY S. KELLY CRNA
NPI 1477792315
Nurse Anesthetist, Certified Registered in Tuscaloosa, AL
About Lacy S. Kelly Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACY S. KELLY CRNA (NPI 1477792315) is an individual nurse anesthetist, certified registered in Tuscaloosa, Alabama, licensed in Alabama (1-102873) and active in the NPI registry since February 2009. She is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Lacy S. Kelly 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.
Medicare Billing Reassignments
4Medicare enrollment records show Lacy Kelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, AL 35601
- Reassigned Medicare billing, Alabama enrollment
- 216 clinicians in this Medicare group
Huntsville, AL 35801
- Reassigned Medicare billing, Alabama enrollment
- 93 clinicians in this Medicare group
Huntsville, AL 35801
- Reassigned Medicare billing, Alabama enrollment
- 220 clinicians in this Medicare group
Huntsville, AL 35804
- Reassigned Medicare billing, Alabama enrollment
- 64 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35406 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUSCALOOSA, AL 35406
TUSCALOOSA, AL 35406
TUSCALOOSA, AL 35406
TUSCALOOSA, AL 35406
TUSCALOOSA, AL 35406
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 Lacy Kelly's NPI number?
The NPI number for Lacy Kelly is 1477792315. It was assigned to this individual provider in the NPPES registry on February 17, 2009.
Where is Lacy Kelly located?
Lacy Kelly practices at 1400 Mcfarland Blvd N, Tuscaloosa, AL 35406. The listed phone number is (205) 345-5500.
What is Lacy Kelly's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lacy Kelly enrolled in Medicare?
Yes. Lacy 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 Lacy Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Kelly reassigns Medicare benefits to 4 organizations: Physynergy, LLC (Decatur, AL), Comprehensive Anesthesia Services PC (Huntsville, AL), Huntsville Hospital Anesthesia (Huntsville, AL) and Huntsville Anesthesiology Consultants PC (Huntsville, AL). 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 Lacy Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lacy Kelly accept?
Health plans from Blue Cross and Blue Shield of Alabama list Lacy Kelly 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.
When was this NPI record last updated?
The NPPES record for Lacy Kelly was last updated on February 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Lacy S. Kelly, CRNA · NPI 1477792315
Nurse Anesthetist, Certified Registered physician in Tuscaloosa, Alabama. Individual provider, active in the CMS NPPES registry since February 17, 2009.
## Identity
- **NPI:** 1477792315 (Entity type: Individual)
- **Enumerated:** February 17, 2009
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 1-102873 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 MCFARLAND BLVD N, Tuscaloosa, AL 35406-2209
- **Phone:** (205) 345-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Physynergy, LLC (NPI 1568840684, Decatur, AL); Comprehensive Anesthesia Services PC (NPI 1194704742, Huntsville, AL); Huntsville Hospital Anesthesia (NPI 1851321079, Huntsville, AL); Huntsville Anesthesiology Consultants PC (NPI 1073661492, Huntsville, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** February 17, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1477792315) · Data from the CMS NPPES public registry.