KARL KETTELHUT CRNA
NPI 1861084014
Nurse Anesthetist, Certified Registered in Melrose Park, IL
About Karl Kettelhut Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KARL KETTELHUT CRNA (NPI 1861084014) is an individual nurse anesthetist, certified registered in Melrose Park, Illinois, licensed in Illinois (209022754) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Karl Kettelhut 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.
Medicare Billing Reassignments
3Medicare enrollment records show Karl Kettelhut reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Melrose Park, IL 60160
- Reassigned Medicare billing, Illinois enrollment
- 78 clinicians in this Medicare group
Chicago, IL 60657
- Reassigned Medicare billing, Illinois enrollment
- 385 clinicians in this Medicare group
Muskegon, MI 49444
- Reassigned Medicare billing, Michigan enrollment
- 30 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 2
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 60160 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MELROSE PARK, IL 60160
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 Karl Kettelhut's NPI number?
The NPI number for Karl Kettelhut is 1861084014. It was assigned to this individual provider in the NPPES registry on February 9, 2021.
Where is Karl Kettelhut located?
Karl Kettelhut practices at 701 W North Ave, Melrose Park, IL 60160. The listed phone number is (708) 681-3200.
What is Karl Kettelhut's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Karl Kettelhut enrolled in Medicare?
Yes. Karl Kettelhut 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 Karl Kettelhut's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karl Kettelhut reassigns Medicare benefits to 3 organizations: Gottlieb Midwest Anesthesiologists, LLC (Melrose Park, IL), Midwest Anesthesia Partners, LLC (Chicago, IL) and Muskegon Surgical Associates PC (Muskegon, 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 Karl Kettelhut's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karl Kettelhut accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Karl Kettelhut 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 Karl Kettelhut was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Karl Kettelhut, CRNA · NPI 1861084014
Nurse Anesthetist, Certified Registered physician in Melrose Park, Illinois. Individual provider, active in the CMS NPPES registry since February 9, 2021.
## Identity
- **NPI:** 1861084014 (Entity type: Individual)
- **Enumerated:** February 9, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209022754 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 W NORTH AVE, Melrose Park, IL 60160-1612
- **Phone:** (708) 681-3200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Gottlieb Midwest Anesthesiologists, LLC (NPI 1003832767, Melrose Park, IL); Midwest Anesthesia Partners, LLC (NPI 1255380184, Chicago, IL); Muskegon Surgical Associates PC (NPI 1225101660, Muskegon, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861084014) · Data from the CMS NPPES public registry.