DR. RODNEY JAMAL KELLUM CRNA
NPI 1639917529
Nurse Anesthetist, Certified Registered in Phoenix, AZ

Active since July 16, 2024Accepts Medicare Assignment
7301 N 16TH ST STE 102, PHOENIX, AZ 85020(480) 420-4027 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 15, 2024, Jul 16, 2024 (2 updates tracked since 2024).

About Dr. Rodney Jamal Kellum Crna NPPES

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

DR. RODNEY JAMAL KELLUM CRNA (NPI 1639917529) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (327534) and active in the NPI registry since July 2024. He maintains 2 additional practice locations and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639917529
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. RODNEY JAMAL KELLUMCredential: CRNA
Location Address7301 N 16TH ST STE 102Phoenix, AZ 85020-5266
Mailing Address305 Rock Creek Rd Apt AHot Springs, AR 71913-9297
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 16, 2024
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1639917529 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
Licenses✔ Licensed in AZ · 327534✔ Licensed in AR · 230485
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.
7301 N 16TH ST STE 102, Phoenix, AZ 85020

Secondary Practice Locations 2

Location 16644 E Baywood AveMesa, AZ 85206-1747 · Phone (480) 321-2000
Location 21910 Malvern AveHot Springs, AR 71901-7752 · Phone (501) 321-1000

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

Dr. Rodney Jamal Kellum 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 ID1456889237
PECOS Enrollment IDI20250107001895, I20250829003942

Medicare Billing Reassignments

5

Medicare enrollment records show Rodney Kellum reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
7301 N 16TH ST STE 102
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 174 clinicians in this Medicare group
Anesthesiology
10720 W INDIAN SCHOOL RD STE 19-1039
Phoenix, AZ 85037
  • Reassigned Medicare billing, Arizona enrollment
  • 423 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
4620 E BASELINE RD
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 298 clinicians in this Medicare group
Anesthesiology
1910 MALVERN AVE
Hot Springs, AR 71901
  • Reassigned Medicare billing, Arkansas enrollment
  • 35 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8273 GRAND RIVER RD STE 210
Brighton, MI 48114
  • Reassigned Medicare billing, Arizona enrollment
  • 370 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 85020 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

General Practice
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Nurse Anesthetist, Certified Registered
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Anesthesiology
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Nurse Anesthetist, Certified Registered
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Nurse Practitioner (Psychiatric/Mental Health)
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Nurse Practitioner (Psychiatric/Mental Health)
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Internal Medicine
7301 N 16TH ST STE 102
PHOENIX, AZ 85020
Counselor (Professional)
7301 N 16TH ST STE 102
PHOENIX, AZ 85020

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 Rodney Kellum's NPI number?

The NPI number for Rodney Kellum is 1639917529. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Rodney Kellum located?

Rodney Kellum practices at 7301 N 16th St Ste 102, Phoenix, AZ 85020. The listed phone number is (480) 420-4027.

What is Rodney Kellum's specialty?

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

Is Rodney Kellum enrolled in Medicare?

Yes. Rodney Kellum 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 Rodney Kellum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Kellum reassigns Medicare benefits to 5 organizations: Guide Anesthesia Az LLC (Phoenix, AZ), Greater Anesthesia Solutions (Phoenix, AZ), Ascend Anesthesia LLC (Mesa, AZ), Ouachita Regional Anesthesia PLLC (Hot Springs, AR) and Anesthesia Partners & Management LLC (Brighton, MI). 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 Rodney Kellum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodney Kellum accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Health Advantage and Octave list Rodney Kellum 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 Rodney Kellum was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.