Mr Jordan Ray Kelley, CRNA in Las Vegas, NV - Medicare Nurse Anesthetist, Certified Registered

Mr Jordan Ray Kelley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Las Vegas, Nevada. His current practice location is 220 Emerald Vista Way Unit 167, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 720-5265.

Mr Jordan Ray Kelley is licensed to practice in Nevada (license number 826262) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891319398.

Contact Information

	Mr Jordan Ray Kelley, CRNA
	220 Emerald Vista Way Unit 167, Las Vegas, NV 89144-4145
	(702) 720-5265
	(702) 996-4458

Map and Direction

Provider's Profile

Full Name	Mr Jordan Ray Kelley
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	220 Emerald Vista Way Unit 167, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891319398
Provider Enumeration Date: 06/01/2020
Last Update Date: 07/30/2023

Medicare PECOS Information:

PECOS PAC ID: 1951777580
Enrollment ID: I20221021001530

Medical Identifiers

Medical identifiers for Mr Jordan Ray Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891319398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	826262 (Nevada)	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. Mr Jordan Ray Kelley allows following entities to bill medicare on his behalf.

Entity Name	Fielden,hanson,isaacs,miyada,robison,yeh Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699710749 PECOS PAC ID: 5799683462 Enrollment ID: O20031219000623

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. Mr Jordan Ray Kelley 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
Mr Jordan Ray Kelley, CRNA 220 Emerald Vista Way Unit 167, Las Vegas, NV 89144-4145 Ph: (702) 720-5265	Mr Jordan Ray Kelley, CRNA 220 Emerald Vista Way Unit 167, Las Vegas, NV 89144-4145 Ph: (702) 720-5265

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Las Vegas, NV

Morgan Che' Beeson, RN, MSN, CCRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9127 W Russell Rd Ste 110, Las Vegas, NV 89148 Phone: 702-878-0070 Fax: 702-209-2064
Gian Fule, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000 Fax: 702-209-2064
Edgar Escobar, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-383-2000
Johnette M Seecof, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2450 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-877-8661
Mr. David Thomas Kwiatkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6008 Ridgecarn Ave, Las Vegas, NV 89130 Phone: 702-644-2124
Kristi Vick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-878-0070
Mr. Vance Glenn Gainer Jr., CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Las Vegas, NV 89191 Phone: 702-653-3526

Mr Jordan Ray Kelley, CRNA - Medicare Nurse Anesthetist, Certified Registered in Las Vegas, NV