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ALYSSE BRIANNE KELLY CRNA
NPI 1649788522
Nurse Anesthetist, Certified Registered in Toledo, OH

Active since January 13, 2018
4235 SECOR RD, TOLEDO, OH 43623(419) 473-3561 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2023, Jan 13, 2018 (2 updates tracked since 2018).

About Alysse Brianne Kelly Crna NPPES

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

ALYSSE BRIANNE KELLY CRNA (NPI 1649788522) is an individual nurse anesthetist, certified registered in Toledo, Ohio, licensed in Ohio (APRN.CRNA.0020500) and active in the NPI registry since January 2018. She is affiliated with Mercy St Vincent Medical Center, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649788522
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALYSSE BRIANNE KELLYCredential: CRNA
Location Address4235 SECOR RDToledo, OH 43623-4299
Mailing Address20 Holly Ridge RdWashington, PA 15301-6206
Phone(419) 473-3561
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 13, 2018
Last NPPES UpdateApril 11, 20232 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1649788522 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 OH · APRN.CRNA.0020500✔ Licensed in PA · RN643233
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.
4235 SECOR RD, Toledo, OH 43623
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 Lothrop StPittsburgh, PA 15213-2536 · Phone (412) 647-3260 · Fax (412) 647-6290
Location 23330 Meijer DrToledo, OH 43617-3103 · Phone (419) 578-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alysse Brianne Kelly Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870854128
PECOS Enrollment IDI20220427000570

Medicare Billing Reassignments

2

Medicare enrollment records show Alysse Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

A4 Of Ohio, LLC
Same address
Anesthesiology
4235 SECOR RD
Toledo, OH 43623
  • Reassigned Medicare billing, Ohio enrollment
  • 44 clinicians in this Medicare group
NPI 1255996567 (419) 473-3561
Anesthesia & Intensive Care Consultants,inc.
183 mi
Anesthesiology
3000 HOSPITAL DR
Batavia, OH 45103
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Southwest Ohio Anesthesia Consultants LLC
  • 830 clinicians in this Medicare group
NPI 1164859013 (859) 341-7246

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

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.

THE TOLEDO HOSPITAL
Clinic/Center (Urgent Care)
4235 SECOR RD, PROMEDICA URGENT CARE
TOLEDO, OH 43623
Lucas County (419) 720-3989
DR. SAPNA T REDDY MD
Internal Medicine (Gastroenterology)
4235 SECOR RD
TOLEDO, OH 43623
Lucas County (419) 479-5455
MRS. NOELLE ISPHORDING NP-C
Nurse Practitioner (Family)
4235 SECOR RD
TOLEDO, OH 43623
Lucas County (419) 473-3561
DR. KYLE WILLIAM MCLOUTH DO
Student in an Organized Health Care Education/Training Program
4235 SECOR RD
TOLEDO, OH 43623
Lucas County (419) 479-5529
STEPHANIE MARIE FREDERICK CNP
Nurse Practitioner (Family)
4235 SECOR RD
TOLEDO, OH 43623
Lucas County (419) 874-3246
DAVID R SELL PA
Physician Assistant (Medical)
4235 SECOR RD
TOLEDO, OH 43623
Lucas County (419) 479-5590
LAUREN NICOLE HUFFMAN CNP
Nurse Practitioner (Family)
4235 SECOR RD
TOLEDO, OH 43623
Lucas County (419) 479-5418
GHIATH A YAZJI MD
Internal Medicine (Cardiovascular Disease)
4235 SECOR RD
TOLEDO, OH 43623
Lucas County (419) 479-5690

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 Alysse Kelly's NPI number?

The NPI number for Alysse Kelly is 1649788522. It was assigned to this individual provider in the NPPES registry on January 13, 2018.

Where is Alysse Kelly located?

Alysse Kelly practices at 4235 Secor Rd, Toledo, OH 43623. The listed phone number is (419) 473-3561.

What is Alysse Kelly's specialty?

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

Is Alysse Kelly enrolled in Medicare?

Yes. Alysse Kelly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alysse Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alysse Kelly reassigns Medicare benefits to 2 organizations: A4 Of Ohio, LLC (Toledo, OH) and Anesthesia & Intensive Care Consultants,inc. (Batavia, OH). 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 Alysse Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alysse Kelly accept?

Health plans from CareSource list Alysse 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.

Is Alysse Kelly affiliated with any hospitals?

According to CMS data, Alysse Kelly is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Alysse Kelly was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.