Kelly Large, - Medicare Certified Registered Nurse Anesthetist (crna) in Shelby Twp, MI

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Kelly Large, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shelby Twp, Michigan. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ascension Providence Rochester Hospital and her current practice location is 54460 Blue Cloud Dr, Shelby Twp, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 703-3018.

Kelly Large is licensed to practice in Michigan (license number 4704281314) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558819805.

Contact Information

Kelly Large,
54460 Blue Cloud Dr,
Shelby Twp, MI 48315-1226
(586) 703-3018
Not Available

Map and Direction




Provider's Profile

Full NameKelly Large
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location54460 Blue Cloud Dr, Shelby Twp, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Large graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1558819805
  • Provider Enumeration Date: 09/15/2016
  • Last Update Date: 10/01/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2961780770
  • Enrollment ID: I20161031000095

Medical Identifiers

Medical identifiers for Kelly Large such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558819805NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704281314 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension Providence - Crittenton Hospital Medical CenterRochester, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Providence Rochester Hospital882099409889

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. Kelly Large allows following entities to bill medicare on her behalf.
Entity NameAscension Providence Rochester Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235252321
PECOS PAC ID: 8820994098
Enrollment ID: O20031209000552
Entity NamePsj Anesthesia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275905796
PECOS PAC ID: 8325342488
Enrollment ID: O20160210000814
Entity NameAsa Staffing Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114378981
PECOS PAC ID: 3971898644
Enrollment ID: O20160818002713

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. Kelly Large 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
Kelly Large,
54460 Blue Cloud Dr,
Shelby Twp, MI 48315-1226

Ph: (586) 703-3018		Kelly Large,
54460 Blue Cloud Dr,
Shelby Twp, MI 48315-1226

Ph: (586) 703-3018

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Shelby Twp, MI

Michele Hubert Waldron, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 47700 Robin St, Shelby Twp, MI 48317
Phone: 586-419-4493    

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.