KELLY J FIACK CRNA
NPI 1669812111
Nurse Anesthetist, Certified Registered in Bangor, ME

Q: What is Kelly Fiack's NPI number?

The NPI number for Kelly Fiack is 1669812111. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Q: What is Kelly Fiack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Fiack was last updated on June 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 28, 2013Accepts Medicare Assignment

489 STATE ST, BANGOR, ME 04401(207) 992-4032(207) 992-4034 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Kelly J Fiack Crna NPPES

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

KELLY J FIACK CRNA (NPI 1669812111) is an individual nurse anesthetist, certified registered in Bangor, Maine, licensed in Maine (RNA133018) and active in the NPI registry since June 2013. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1669812111

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameKELLY J FIACKCredential: CRNA

Location Address489 STATE STBangor, ME 04401-6616

Mailing Address141 N Main St Ste 205Brewer, ME 04412-2055 · (207) 992-4032 · Fax (207) 992-4034

Phone(207) 992-4032

Fax(207) 992-4034

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 28, 2013

✔ NPI 1669812111 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 ME · RNA133018

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.

489 STATE ST, Bangor, ME 04401

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company.Insurance ›

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

Kelly J Fiack 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 ID5698918175

PECOS Enrollment IDI20190627002012

Areas of Expertise CMS Part B claims 15

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

Injection, propofol, 10 mg J2704

Propofol is a medication given via injection to help you relax or sleep during surgery or other medical procedures. The 10 mg dosage refers to the amount of medication you'll receive. It's administered by a healthcare professional and monitored closely for safety.

2,056 services113 patients

Injection, fentanyl citrate, 0.1 mg J3010

Fentanyl citrate is a potent pain medication administered via injection. The 0.1 mg dosage is used to manage severe pain conditions. It works by blocking pain signals to the brain. It's crucial to follow the dosage instructions to prevent potential side effects.

102 services98 patients

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938

This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.

100 services93 patients

Injection, lidocaine hcl for intravenous infusion, 10 mg J2001

Lidocaine HCL is a medication used to decrease pain or discomfort. In this procedure, it's given through an IV infusion, which means it's slowly injected into your vein. It's often used during minor surgeries or procedures to help keep you comfortable.

84 services83 patients

Anesthesia for other procedure on urinary system through urethra 00910

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

83 services79 patients

Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01940

This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.

44 services43 patients

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01937

This procedure involves administering anesthesia to numb the neck or upper back area. This helps in carrying out procedures like injection, drainage, or aspiration on the spine or spinal cord. Imaging guidance is used to ensure accurate placement, enhancing safety and effectiveness.

29 services28 patients

Anesthesia for nerve destruction procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01939

This procedure involves using anesthesia to numb the area around your spine or spinal cord. The doctor will then use imaging guidance to accurately locate and destroy problematic nerves. This is done through the skin and targets either the neck or upper back area.

23 services22 patients

Anesthesia for procedure on anus and rectum 00902

Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.

22 services22 patients

Anesthesia for placement or revision of blood flow shunt 01844

Anesthesia for blood flow shunt placement or revision ensures comfort during the procedure. It involves medication to numb or induce sleep, preventing pain or discomfort. It's safe, monitored by professionals, and tailored to individual needs.

22 services22 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

19 services19 patients

Anesthesia for nerve block and injection procedure, prone position 01992

Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.

17 services16 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

14 services14 patients

Anesthesia for removal of urinary bladder tumors including use of an endoscope 00912

This procedure involves the use of anesthesia to ensure comfort while an endoscope, a thin tube with a light and camera, is used to identify and remove abnormal growths in the bladder. It's a minimally invasive approach to maintain bladder health.

12 services12 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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

$123.23 typical visit price

range $53.26 – $162.77

Typical copayment $30.80 (range $13.31 – $40.69)

Most-billed visit code 99204

Established Patient

$66.74 typical visit price

range $16.90 – $132.79

Typical copayment $16.68 (range $4.22 – $33.19)

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.

DR. JAMIE L/ CRONIN PHARMD

Pharmacist (Pharmacotherapy)

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-8756

GALE C TINKER PA

Physician Assistant

489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401

Penobscot County (207) 973-6670

DR. MARYBETH BOUDREAU PHARM.D.

Pharmacist (Pharmacotherapy)

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-8927

DR. JOHN K MERCHANT PHARMD

Pharmacist

489 STATE ST, EASTERN MAINE MEDICAL CENTER
BANGOR, ME 04401

Penobscot County (207) 972-8286

CRAIG J PEDERSEN PA-C

Physician Assistant (Medical)

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-7000

KAREN L VOLCKHAUSEN FNP

Nurse Practitioner (Family)

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-7000

DR. JAMES W BERRY M.D.

Family Medicine

489 STATE ST
BANGOR, ME 04401

Penobscot County (207) 973-7000

DR. CHARLES A STALEY MD

Hospitalist

489 STATE ST, EMIC KELLEY 6
BANGOR, ME 04401

Penobscot County (207) 973-7000

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 Kelly Fiack's NPI number?

The NPI number for Kelly Fiack is 1669812111. It was assigned to this individual provider in the NPPES registry on June 28, 2013.

Where is Kelly Fiack located?

Kelly Fiack practices at 489 State St, Bangor, ME 04401. The listed phone number is (207) 992-4032.

What is Kelly Fiack's specialty?

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

Is Kelly Fiack enrolled in Medicare?

Yes. Kelly Fiack 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.

What insurance does Kelly Fiack accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Oscar Insurance Company list Kelly Fiack 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 Kelly Fiack was last updated on June 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.