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JENNIFER AMY KELLY
NPI 1558328351
Nurse Anesthetist, Certified Registered in Columbia, SC

Active since April 27, 2006Accepts Medicare Assignment
80.33/100
CMS Quality Rating
5 MEDICAL PARK, PALMETTO HEALTH RICHLAND, COLUMBIA, SC 29203(803) 296-2548(803) 296-2548 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jennifer Amy Kelly NPPES

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

JENNIFER AMY KELLY (NPI 1558328351) is an individual nurse anesthetist, certified registered in Columbia, South Carolina, licensed in South Carolina (2631) and active in the NPI registry since April 2006. She is a graduate of Other (2005).

NPPES Registry Identity

NPI1558328351
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameJENNIFER AMY KELLY
Location Address5 MEDICAL PARK, PALMETTO HEALTH RICHLANDColumbia, SC 29203
Mailing Address293 Greystone Blvd, First FloorColumbia, SC 29210-8004 · (803) 296-2548 · Fax (803) 296-2548
Phone(803) 296-2548
Fax(803) 296-2548
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 27, 2006
Last NPPES UpdateMay 19, 2014
✔ NPI 1558328351 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 · 2631
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.
5 MEDICAL PARK, Columbia, SC 29203
Open in Google Maps ↗

Other Identifiers 3

Medicare PINQ33984SC
Medicare UPINQ33984SC
MedicaidAN1434SC

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

Jennifer Amy 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 ID1658396478
PECOS Enrollment IDI20140814001017

Medicare Billing Reassignment

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

Anesthesia Care Services, PA
252 mi
Nurse Anesthetist, Certified Registered
1834 GRAVES MILL ROAD
Forest, VA 24551
  • Reassigned Medicare billing, North Carolina enrollment
  • 207 clinicians in this Medicare group
NPI 1609833474 (888) 447-7220

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 29203 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.

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.

80.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.68
Improvement Activities20

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.

CATHERINE BENNET RHEA
Nurse Anesthetist, Certified Registered
5 MEDICAL PARK, PALMETTO HEALTH RICHLAND
COLUMBIA, SC 29203
Richland County (803) 296-2548
ASHLEY NICOLE GOOLSBY CRNA
Nurse Anesthetist, Certified Registered
5 MEDICAL PARK, PALMETTO HEALTH RICHLAND
COLUMBIA, SC 29203
Richland County (803) 296-2548
ALEX JORDAN WARREN M.D.
Emergency Medicine
5 MEDICAL PARK, PHR - DEPT OF EM
COLUMBIA, SC 29203
Richland County (803) 434-3790
MICHAEL ROSS HUGGINS
Nurse Anesthetist, Certified Registered
5 MEDICAL PARK, PALMETTO HEALTH RICHLAND
COLUMBIA, SC 29203
Richland County (803) 296-2548
ZACHARY THOMAS GRAMBOS M.D.
Emergency Medicine
5 MEDICAL PARK, PHR - DEPT OF EM
COLUMBIA, SC 29203
Richland County (803) 434-3790
VICTOR NORBERT ISKERSKY MD
Pediatrics (Neonatal-Perinatal Medicine)
5 MEDICAL PARK, PALMETTO HEALTH RICHLAND
COLUMBIA, SC 29203
Richland County (803) 434-7151
MICHAEL YVES LAROCHELLE M.D.
Emergency Medicine
5 MEDICAL PARK, PHR - DEPT OF EM
COLUMBIA, SC 29203
Richland County (803) 434-3790
ANNSLEY FOX
Emergency Medicine
5 MEDICAL PARK
COLUMBIA, SC 29203
Richland County (803) 434-3790

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 Jennifer Kelly's NPI number?

The NPI number for Jennifer Kelly is 1558328351. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Jennifer Kelly located?

Jennifer Kelly practices at 5 Medical Park Palmetto Health Richland, Columbia, SC 29203. The listed phone number is (803) 296-2548.

What is Jennifer Kelly's specialty?

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

Is Jennifer Kelly enrolled in Medicare?

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

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kelly reassigns Medicare benefits to Anesthesia Care Services, PA (Forest, VA). 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 Jennifer Kelly'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 Jennifer Kelly was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.