Conrad Joseph Kelly, - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit, MI

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Conrad Joseph Kelly, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Botsford General Hospital, Northstar Anesthesia Of Michigan Iii Pllc, Rochester Medical Associates Pllc and his current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 343-4000.

Conrad Joseph Kelly is licensed to practice in Michigan (license number 4704293196) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1437672516.

Contact Information

Conrad Joseph Kelly,
22101 Moross Rd,
Detroit, MI 48236
(313) 343-4000
Not Available

Map and Direction




Provider's Profile

Full NameConrad Joseph Kelly
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location22101 Moross Rd, Detroit, Michigan
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Conrad Joseph Kelly graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1437672516
  • Provider Enumeration Date: 07/20/2017
  • Last Update Date: 07/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9133494917
  • Enrollment ID: I20171004001219

Medical Identifiers

Medical identifiers for Conrad Joseph Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437672516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704293196 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 4704293196 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital Royal OakRoyal oak, MIHospital
Beaumont Hospital - Farmington HillsFarmington hills, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Botsford General Hospital266838523853
Northstar Anesthesia Of Michigan Iii Pllc7911325469510
Rochester Medical Associates Pllc872931870424

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Conrad Joseph Kelly allows following entities to bill medicare on his behalf.
Entity NameBotsford General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235179664
PECOS PAC ID: 2668385238
Enrollment ID: O20031113000500
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598896995
PECOS PAC ID: 3173424082
Enrollment ID: O20040130000407
Entity NameWilliam Beaumont Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811044878
PECOS PAC ID: 9335051093
Enrollment ID: O20040312000217
Entity NameMunson Healthcare Otsego Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376568865
PECOS PAC ID: 8325942535
Enrollment ID: O20050301000744
Entity NameNorthstar Anesthesia Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871986372
PECOS PAC ID: 9638481591
Enrollment ID: O20150707000070
Entity NameRochester Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396398681
PECOS PAC ID: 8729318704
Enrollment ID: O20190918002717
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Conrad Joseph Kelly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Conrad Joseph Kelly,
2455 Culbertson Ave,
Rochester Hills, MI 48307-4609

Ph: () -		Conrad Joseph Kelly,
22101 Moross Rd,
Detroit, MI 48236

Ph: (313) 343-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-8521    
Caroline L Talbert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-7600    Fax: 952-442-3620
Kyle Krupa,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Lisa Zetuna,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Kurt Belen, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10814 Duprey St, Detroit, MI 48224
Phone: 313-410-1988    
Dr. Timothy Turner, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-8078    
Ms. Laura Lynn Rivera, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.