Kelly Shivel Rudd, CRNA in Jacksonville, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Kelly Shivel Rudd, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice North Florida Anesthesia Consultants Inc and her current practice location is 1 Shircliff Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 308-7300.

Kelly Shivel Rudd is licensed to practice in Florida (license number 9180092) 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 1467898395.

Contact Information

	Kelly Shivel Rudd, CRNA
	1 Shircliff Way, Jacksonville, FL 32204-4748
	(904) 308-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Shivel Rudd
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	1 Shircliff Way, Jacksonville, Florida
Accepts Medicare Assignments	Yes. 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 Shivel Rudd graduated from nursing school in 2012

NPI Data:

NPI Number: 1467898395
Provider Enumeration Date: 05/19/2013
Last Update Date: 05/19/2013

Medicare PECOS Information:

PECOS PAC ID: 9032358544
Enrollment ID: I20130613000280

Medical Identifiers

Medical identifiers for Kelly Shivel Rudd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467898395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	9180092 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent's Riverside	Jacksonville, FL	Hospital
Ascension St Vincent's Southside	Jacksonville, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Florida Anesthesia Consultants Inc	7416869565	110

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 Shivel Rudd allows following entities to bill medicare on her behalf.

Entity Name	North Florida Anesthesia Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346236866 PECOS PAC ID: 7416869565 Enrollment ID: O20031105000664

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 Shivel Rudd 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
Kelly Shivel Rudd, CRNA 2165 Herschel St, Jacksonville, FL 32204-3819 Ph: (904) 387-4030	Kelly Shivel Rudd, CRNA 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jacksonville, FL

Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220
Tabitha Jay Barrett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 954-939-5216
Kristin Denise Brown, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Kelly Shivel Rudd, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL