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KELLY ELIZABETH FANTOZZI CRNA
NPI 1982640728
Nurse Anesthetist, Certified Registered in Portsmouth, VA

Active since June 21, 2006Accepts Medicare Assignment
78.58/100
CMS Quality Rating
3636 HIGH STREET, MARY VIEW MEDICAL CENTER, PORTSMOUTH, VA 23704(757) 399-7461(757) 399-1158 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kelly Elizabeth Fantozzi Crna NPPES

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

KELLY ELIZABETH FANTOZZI CRNA (NPI 1982640728) is an individual nurse anesthetist, certified registered in Portsmouth, Virginia, licensed in Virginia (0024166903) and active in the NPI registry since June 2006. She is affiliated with Sentara Virginia Beach General Hospital and is a graduate of Other (2005).

NPPES Registry Identity

NPI1982640728
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELLY ELIZABETH FANTOZZICredential: CRNA
Location Address3636 HIGH STREET, MARY VIEW MEDICAL CENTERPortsmouth, VA 23704
Mailing Address355 Crawford St Ste 808Portsmouth, VA 23704-2825 · (757) 399-7451 · Fax (757) 399-1158
Phone(757) 399-7461
Fax(757) 399-1158
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 21, 2006
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1982640728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in VA · 0024166903
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001169731 (VA)
3636 HIGH STREET, Portsmouth, VA 23704
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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

Kelly Elizabeth Fantozzi 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 ID4789693433
PECOS Enrollment IDI20060407000516

Medicare Billing Reassignments

4

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

Atlantic Anesthesia, Inc
9.6 mi
Anesthesiology
134 BUSINESS PARK DR
Virginia Beach, VA 23462
  • Reassigned Medicare billing, Virginia enrollment
  • 321 clinicians in this Medicare group
NPI 1720181514 (757) 473-0044
Tidewater Anesthesia Consultants PLLC
14 mi
Anesthesiology
2750 GODWIN BLVD
Suffolk, VA 23434
  • Reassigned Medicare billing, Virginia enrollment
  • 36 clinicians in this Medicare group
NPI 1013869247 (757) 983-2000
Smg Anesthesia Specialists LLC
14 mi
Anesthesiology
2025 GLENN MITCHELL DR
Virginia Beach, VA 23456
  • Reassigned Medicare billing, Virginia enrollment
  • 707 clinicians in this Medicare group
NPI 1518205004 (757) 507-1000
East Carolina Anesthesia Associates, PLLC
103 mi
Anesthesiology
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, Virginia enrollment
  • 77 clinicians in this Medicare group
NPI 1205996519 (252) 847-4100

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

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 other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23704 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40
Cost61.09

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 Fantozzi's NPI number?

The NPI number for Kelly Fantozzi is 1982640728. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Kelly Fantozzi located?

Kelly Fantozzi practices at 3636 High Street Mary View Medical Center, Portsmouth, VA 23704. The listed phone number is (757) 399-7461.

What is Kelly Fantozzi's specialty?

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

Is Kelly Fantozzi enrolled in Medicare?

Yes. Kelly Fantozzi 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 Kelly Fantozzi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fantozzi reassigns Medicare benefits to 4 organizations: Atlantic Anesthesia, Inc (Virginia Beach, VA), Tidewater Anesthesia Consultants PLLC (Suffolk, VA), Smg Anesthesia Specialists LLC (Virginia Beach, VA) and East Carolina Anesthesia Associates, PLLC (Greenville, NC). 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 Kelly Fantozzi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Fantozzi affiliated with any hospitals?

According to CMS data, Kelly Fantozzi is affiliated with Sentara Virginia Beach General Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Fantozzi was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.