Stephen Earl Kelley, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Memphis, TN

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Stephen Earl Kelley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Memphis, Tennessee. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ut Regional One Physicians Inc, Midsouth Speciality Anesthesia Services Llc and his current practice location is 877 Jefferson Ave, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at (901) 545-7100.

Stephen Earl Kelley is licensed to practice in Indiana (license number 28228678A) 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 1760831754.

Contact Information

Stephen Earl Kelley, CRNA
877 Jefferson Ave,
Memphis, TN 38103
(901) 545-7100
Not Available

Map and Direction




Provider's Profile

Full NameStephen Earl Kelley
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience9 Years
Location877 Jefferson Ave, Memphis, Tennessee
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:
  • Stephen Earl Kelley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1760831754
  • Provider Enumeration Date: 06/09/2016
  • Last Update Date: 06/15/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5294027025
  • Enrollment ID: I20180828001908

Medical Identifiers

Medical identifiers for Stephen Earl Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760831754NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 24275 (Tennessee)Secondary
367500000XNurse Anesthetist, Certified Registered 28228678A (Indiana)Primary
163W00000XRegistered Nurse 28228678A (Indiana)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Regional One Physicians Inc5698993418277
Midsouth Speciality Anesthesia Services Llc610329366724

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. Stephen Earl Kelley allows following entities to bill medicare on his behalf.
Entity NameLifelinc Anesthesia Ii, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821397233
PECOS PAC ID: 2668658493
Enrollment ID: O20110512000311
Entity NameUt Regional One Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093130585
PECOS PAC ID: 5698993418
Enrollment ID: O20140820000662
Entity NameAnesthesia Health Consultants
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336528926
PECOS PAC ID: 4688977218
Enrollment ID: O20170510001101
Entity NameMidsouth Speciality Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245956440
PECOS PAC ID: 6103293667
Enrollment ID: O20221121000130

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. Stephen Earl 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 AddressPractice Location Address
Stephen Earl Kelley, CRNA
12215 Lanai Dr,
Fort Wayne, IN 46818-8552

Ph: (901) 240-3671		Stephen Earl Kelley, CRNA
877 Jefferson Ave,
Memphis, TN 38103

Ph: (901) 545-7100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Memphis, TN

Tara Orr, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1068 Cresthaven Rd, Suite 150, Memphis, TN 38119
Phone: 901-682-2872    
Michael Fisher, CRNA
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Practice Location: 1265 Union Ave, Memphis, TN 38104
Phone: 901-725-5846    
Jessica Doran, DNP, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 877 Jefferson Ave, Memphis, TN 38103
Phone: 901-448-5893    Fax: 901-448-5893
Carman Hamm, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120
Phone: 901-725-5846    Fax: 901-726-4827
Kathleen B Weiman, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120
Phone: 901-685-6150    Fax: 901-685-6454
Janet Laughlin, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6485 Poplar Ave, Memphis, TN 38119
Phone: 901-767-4014    
Jennifer Williams, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1755 Kirby Pkwy, Memphis, TN 38120
Phone: 901-725-5846    Fax: 901-726-4827

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.