Lance Kelly, - Medicare Certified Registered Nurse Anesthetist (crna) in Minneapolis, MN

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Lance Kelly, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Minneapolis, Minnesota. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Central Wisconsin Anesthesiology, Divine Savior Healthcare Inc and his current practice location is 800 E 28th St, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (865) 342-8900.

Lance Kelly is licensed to practice in Minnesota (license number CRNA 1911) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689959777.

Contact Information

Lance Kelly,
800 E 28th St,
Minneapolis, MN 55407-3723
(865) 342-8900
Not Available

Map and Direction




Provider's Profile

Full NameLance Kelly
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location800 E 28th St, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lance Kelly graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1689959777
  • Provider Enumeration Date: 10/20/2011
  • Last Update Date: 05/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0446426993
  • Enrollment ID: I20120104000476

Medical Identifiers

Medical identifiers for Lance Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689959777NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 169078-30 (Wisconsin)Secondary
367500000XNurse Anesthetist, Certified Registered CRNA 1911 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aspirus Wausau HospitalWausau, WIHospital
Divine Savior HealthcarePortage, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Wisconsin Anesthesiology559766709746
Divine Savior Healthcare Inc579968400776

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. Lance Kelly allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameCentral Wisconsin Anesthesiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518999648
PECOS PAC ID: 5597667097
Enrollment ID: O20040124000074
Entity NameLanglade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831251040
PECOS PAC ID: 1557271202
Enrollment ID: O20040212000310
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962

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. Lance 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
Lance Kelly,
425 Pine Ridge Blvd, Suite 211,
Wausau, WI 54401-4123

Ph: (715) 845-5505		Lance Kelly,
800 E 28th St,
Minneapolis, MN 55407-3723

Ph: (865) 342-8900

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Minneapolis, MN

Mrs. Angela Renae Mund, MS CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1 Veterans Dr, Minneapolis, MN 55417
Phone: 612-467-3393    
Nancy S Hawley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 701 Park Ave, Minneapolis, MN 55415
Phone: 612-873-3152    Fax: 612-904-4218
Drew David Mathews, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Joyce Sia Stewart, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Sara Jayne Armbruster, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 8170 33rd Avenue South, Ms 21110q, Minneapolis, MN 55440
Phone: 952-883-7172    Fax: 952-883-5395
Linh Tran Geist, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 28th St, Minneapolis, MN 55407
Phone: 612-871-7639    Fax: 612-872-0302
Asal Salehpoor Driscoll, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404
Phone: 612-813-6273    

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.