Jordan Lacey Kelly, CRNA in Cape Coral, FL - Medicare Nurse Anesthetist, Certified Registered

Jordan Lacey Kelly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Cape Coral, Florida. Her current practice location is 636 Del Prado Blvd S, Cape Coral, Florida. You can reach out to her office (for appointments etc.) via phone at (888) 339-8727.

Jordan Lacey Kelly is licensed to practice in Florida (license number APRN11028253) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1134847528.

Contact Information

	Jordan Lacey Kelly, CRNA
	636 Del Prado Blvd S, Cape Coral, FL 33990-2668
	(888) 339-8727
	Not Available

Map and Direction

Provider's Profile

Full Name	Jordan Lacey Kelly
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	636 Del Prado Blvd S, Cape Coral, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134847528
Provider Enumeration Date: 08/22/2022
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9931553252
Enrollment ID: I20230920002845

Medical Identifiers

Medical identifiers for Jordan Lacey Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134847528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9445555 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN11028253 (Florida)	Primary

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. Jordan Lacey Kelly allows following entities to bill medicare on her behalf.

Entity Name	Us Anesthesia Partners Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594

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. Jordan Lacey 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 Address	Practice Location Address
Jordan Lacey Kelly, CRNA 13350 Metro Pkwy Ste 301, Fort Myers, FL 33966-4796 Ph: () -	Jordan Lacey Kelly, CRNA 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 Ph: (888) 339-8727

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Cape Coral, FL

Edgardo E Lugo, CRNA, MS Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1709 Everest Pkwy, Cape Coral, FL 33904 Phone: 787-408-0676
Kathryn Burgess, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 665 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-770-7322
Stacey L. Fowler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2490 Ashbury Cir, Cape Coral, FL 33991 Phone: 859-333-7542
Ms. Andrea Gulasi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2721 Del Prado Blvd, Cape Coral Surgery Center Suite 100, Cape Coral, FL 33904 Phone: 239-242-8010 Fax: 239-242-8020
Mrs. Christina Maria Papciak, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 665 Dcl Prado Blvd, Cape Coral, FL 33990 Phone: 239-772-8892 Fax: 237-574-6262
Lemusien Antonia Ley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1930 Se 8th St, Cape Coral, FL 33990 Phone: 239-292-5844
Annette Castaldo, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2691 Sunset Lake Dr, Cape Coral, FL 33909 Phone: 239-333-7323

Jordan Lacey Kelly, CRNA - Medicare Nurse Anesthetist, Certified Registered in Cape Coral, FL