DR. KELLEY LARSON ETHERIDGE APRN/CRNA
NPI 1821574310
Nurse Anesthetist, Certified Registered in Glastonbury, CT
About Dr. Kelley Larson Etheridge Aprn/crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLEY LARSON ETHERIDGE APRN/CRNA (NPI 1821574310) is an individual nurse anesthetist, certified registered in Glastonbury, Connecticut, licensed in Connecticut (7675) and active in the NPI registry since July 2018. She maintains a secondary practice location in Hartford and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
(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.
Secondary Practice Location 1
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
Dr. Kelley Larson Etheridge Aprn/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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLASTONBURY, CT 06033
GLASTONBURY, CT 06033
GLASTONBURY, CT 06033
GLASTONBURY, CT 06033
GLASTONBURY, CT 06033
GLASTONBURY, CT 06033
GLASTONBURY, CT 06033
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 Kelley Etheridge's NPI number?
The NPI number for Kelley Etheridge is 1821574310. It was assigned to this individual provider in the NPPES registry on July 17, 2018.
Where is Kelley Etheridge located?
Kelley Etheridge practices at 195 Eastern Blvd, Glastonbury, CT 06033. The listed phone number is (860) 667-9542.
What is Kelley Etheridge's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kelley Etheridge enrolled in Medicare?
Yes. Kelley Etheridge 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.
When was this NPI record last updated?
The NPPES record for Kelley Etheridge was last updated on April 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
