KELLIE DEFFENDALL CRNA
NPI 1629025812
Nurse Anesthetist, Certified Registered in Nashville, TN

Active since May 31, 2006Accepts Medicare Assignment
92.06/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 936-2000 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 23, 2020, Aug 1, 2018 (2 updates tracked since 2018).

About Kellie Deffendall Crna NPPES

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

KELLIE DEFFENDALL CRNA (NPI 1629025812) is an individual nurse anesthetist, certified registered in Nashville, Tennessee, licensed in Tennessee (11020) and active in the NPI registry since May 2006. She maintains 2 additional practice locations and is a graduate of Other (2004).

NPPES Registry Identity

NPI1629025812
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELLIE DEFFENDALLCredential: CRNA
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-2598
Mailing Address719 Thompson Ln Ste 30330Nashville, TN 37204-4701
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 31, 2006
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
NPI 1629025812 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 · 11020
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.

3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Secondary Practice Locations 2

Location 1501 20th St, Suite 606Knoxville, TN 37916-1809 · Phone (865) 546-8040 · Fax (865) 541-2787
Location 21272 Garrison DrMurfreesboro, TN 37129-2598 · Phone (615) 893-4480

Other Identifiers 5

Other100047081TN · Php Tenncare
Medicaid3634033TN
Other4101930TN · Bluecare
Other4101930TN · Blue Cross
OtherP00243205TN · Medicare Travelers

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

Kellie Deffendall 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 ID648223446
PECOS Enrollment IDI20050221000726

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for electroshock therapy 00104
Anesthesia for electroshock therapy involves administering medications to put you into a deep sleep. This ensures you won't feel pain or remember the procedure. It's essential for your comfort and safety during the therapy.
160 services36 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
135 services125 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality84.12
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Medical Genetics (Clinical Genetics (M.D.))
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Rheumatology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Ophthalmology
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Obstetrics & Gynecology
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Anesthetist, Certified Registered
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychiatry & Neurology (Neurology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629025812, enumerated as an "individual" on May 31, 2006.

The provider is located at 3601 THE VANDERBILT CLINIC NASHVILLE, TN 37232 and the phone number is (615) 936-2000.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.