TERRI ELLEN KELLY CRNA
NPI 1942330626
Nurse Anesthetist, Certified Registered in Terre Haute, IN

Q: What is Terri Kelly's NPI number?

The NPI number for Terri Kelly is 1942330626. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Terri Kelly'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 Terri Kelly was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since March 06, 2007Accepts Medicare Assignment

1421 N 7TH ST, TERRE HAUTE, IN 47807(812) 234-8261(812) 234-8262 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Terri Ellen Kelly Crna NPPES

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

TERRI ELLEN KELLY CRNA (NPI 1942330626) is an individual nurse anesthetist, certified registered in Terre Haute, Indiana, licensed in Indiana (28170574A) and active in the NPI registry since March 2007. She is a graduate of Other (2006).

NPPES Registry Identity

NPI1942330626

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameTERRI ELLEN KELLYCredential: CRNA

Location Address1421 N 7TH STTerre Haute, IN 47807-1005

Mailing AddressPo Box 3849Terre Haute, IN 47803-0849 · (812) 234-8261 · Fax (812) 234-8262

Phone(812) 234-8261

Fax(812) 234-8262

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMarch 6, 2007

Last NPPES UpdateMarch 12, 2008

✔ NPI 1942330626 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 IN · 28170574A

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.

1421 N 7TH ST, Terre Haute, IN 47807

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Other Identifiers 3

Other000000508494IN · Blue Cross/blue Shield

Medicaid200853750IN

Medicare PIN226030EIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.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

Terri Ellen Kelly 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 ID2668579228

PECOS Enrollment IDI20141201000606

Medicare Billing Reassignments

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

Dec Anesthesia LLC

1,420 mi

Anesthesiology

603 W BASELINE RD STE 101
Mesa, AZ 85210

Reassigned Medicare billing, Arizona enrollment
117 clinicians in this Medicare group

NPI 1093006520 (480) 969-0405

Pca Anesthesia

1,422 mi

Anesthesiology

2421 E SOUTHERN AVE STE 7
Tempe, AZ 85282

Reassigned Medicare billing, Arizona enrollment
107 clinicians in this Medicare group

NPI 1164804258 (480) 425-2160

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47807 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DERRIANNE MICHELLE MONTEIRO DNP, CRNA

Nurse Anesthetist, Certified Registered