JESSE KELLEY
NPI 1790336261
Nurse Anesthetist, Certified Registered in Newport News, VA

Active since September 25, 2019PECOS EnrolledAccepts Medicare Assignment
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601(757) 594-2000 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2020, Sep 25, 2019 (2 updates tracked since 2019).

About Jesse Kelley NPPES

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

JESSE KELLEY (NPI 1790336261) is an individual nurse anesthetist, certified registered in Newport News, Virginia, licensed in Virginia (0024178769) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS, is affiliated with Clark Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1790336261
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJESSE KELLEY
Location Address500 J CLYDE MORRIS BLVDNewport News, VA 23601-1929
Mailing Address2633 Mulberry LoopVirginia Beach, VA 23456-7803
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 25, 2019
Last NPPES UpdateFebruary 5, 20202 updates tracked since enumeration
✔ NPI 1790336261 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 VA · 0024178769
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.
500 J CLYDE MORRIS BLVD, Newport News, VA 23601

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

Jesse Kelley 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 ID2163850504
PECOS Enrollment IDI20200826003798
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jesse Kelley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
150 N EAGLE CREEK DR
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 462 clinicians in this Medicare group
Anesthesiology
1740 NICHOLASVILLE RD
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Central Kentucky Anesthesia P.S.C.
  • 117 clinicians in this Medicare group
Anesthesiology
1201 PLEASANT VALLEY RD
Owensboro, KY 42303
  • Reassigned Medicare billing, Kentucky enrollment
  • 137 clinicians in this Medicare group
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Kentucky enrollment
  • 158 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.

Areas of Expertise CMS Part B claims 7

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.

Anesthesia for procedure on heart and large blood vessels 00560
Anesthesia for heart and large blood vessel procedures involves using medications to block sensation, ensuring you don't feel pain during surgery. It can be general (you're asleep) or regional (part of your body is numbed). It helps ensure comfort and safety throughout the operation.
21 services21 patients
Anesthesia for other procedure on large blood vessel of neck 00350
Anesthesia for a procedure on a large neck blood vessel ensures comfort and safety. It involves administering medication to numb sensation, reduce pain, and potentially cause sleepiness. This allows doctors to perform the necessary procedure without causing discomfort.
20 services20 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
15 services15 patients
Ultrasonic guidance for blood vessel access 76937
Ultrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
13 services13 patients
Anesthesia for procedure to assess heart electrical activity 00537
Anesthesia for a procedure to assess heart electrical activity helps ensure comfort and relaxation. It involves administering medication that either numbs a specific area or makes you sleep temporarily. This allows doctors to safely examine your heart's electrical signals without causing discomfort.
12 services12 patients
Anesthesia for procedure on chest with 1 lung inflated 00541
This procedure involves using anesthesia to ensure you feel no pain during a chest procedure where only one lung is inflated. It's a specialized technique that allows doctors to operate on one lung while the other continues to provide oxygen.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Clark Regional Medical Center

Acute Care Hospitals · Winchester, KY
3/5 CMS rating
OwnershipProprietary
CMS Certification Number180092
Location175 Hospital DriveWinchester, KY 40391 · Clark County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Saint Joseph East

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180143
Location150 North Eagle Creek DriveLexington, KY 40509 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Nurse Anesthetist, Certified Registered
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Genetic Counselor, MS
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Anesthesiology
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Radiology (Diagnostic Radiology)
500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER
NEWPORT NEWS, VA 23601
Student in an Organized Health Care Education/Training Program
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 J CLYDE MORRIS BLVD, SUITE 602
NEWPORT NEWS, VA 23601
Pediatrics (Neonatal-Perinatal Medicine)
500 J CLYDE MORRIS BLVD, HAMPTON ROADS NEONATOLOGY
NEWPORT NEWS, VA 23601
Nurse Anesthetist, Certified Registered
500 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 23601

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 Jesse Kelley's NPI number?

The NPI number for Jesse Kelley is 1790336261. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Jesse Kelley located?

Jesse Kelley practices at 500 J Clyde Morris Blvd, Newport News, VA 23601. The listed phone number is (757) 594-2000.

What is Jesse Kelley's specialty?

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

Is Jesse Kelley enrolled in Medicare?

Yes. Jesse Kelley 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 Jesse Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Kelley reassigns Medicare benefits to 4 organizations: Commonwealth Anesthesia, Psc (Lexington, KY), Central Kentucky Anesthesia Psc (Lexington, KY), Ad Of Kentucky PLLC (Owensboro, KY) and Anesthesia Dynamics LLC (Bradenton, FL). 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 Jesse Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jesse Kelley affiliated with any hospitals?

According to CMS data, Jesse Kelley is affiliated with Clark Regional Medical Center, Baptist Health Lexington and Saint Joseph East.

When was this NPI record last updated?

The NPPES record for Jesse Kelley was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.