Terri Ellen Kelly, CRNA - Medicare Nurse Anesthetist, Certified Registered in Terre Haute, IN

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Terri Ellen Kelly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Terre Haute, Indiana. Her current practice location is 1421 N 7th St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 234-8261.

Terri Ellen Kelly is licensed to practice in Indiana (license number 28170574A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942330626.

Contact Information

Terri Ellen Kelly, CRNA
1421 N 7th St,
Terre Haute, IN 47807-1005
(812) 234-8261
(812) 234-8262

Map and Direction




Provider's Profile

Full NameTerri Ellen Kelly
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1421 N 7th St, Terre Haute, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942330626
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 03/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2668579228
  • Enrollment ID: I20141201000606

Medical Identifiers

Medical identifiers for Terri Ellen Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942330626NPI-NPPES
000000508494OtherINBLUE CROSS/BLUE SHIELD
200853750MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28170574A (Indiana)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. Terri Ellen Kelly allows following entities to bill medicare on her behalf.
Entity NameGrand Canyon Anesthesiology Consultants Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467788414
PECOS PAC ID: 7517009152
Enrollment ID: O20100120000813
Entity NameDec Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093006520
PECOS PAC ID: 9335319086
Enrollment ID: O20110907001087
Entity NamePca Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164804258
PECOS PAC ID: 1658675558
Enrollment ID: O20160215000555
Entity NameGrand Canyon Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356822902
PECOS PAC ID: 3678824752
Enrollment ID: O20180928002378

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. Terri Ellen 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
Terri Ellen Kelly, CRNA
Po Box 3849,
Terre Haute, IN 47803-0849

Ph: (812) 234-8261		Terri Ellen Kelly, CRNA
1421 N 7th St,
Terre Haute, IN 47807-1005

Ph: (812) 234-8261

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Terre Haute, IN

Robert Lucas Gomez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-237-0211    Fax: 812-237-0182
Rebecca Maupin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-232-0021    
Dr. Derrianne Michelle Monteiro, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1421 N 7th St, Terre Haute, IN 47807
Phone: 812-231-4608    Fax: 812-231-4675
Mr. John Nathan Neukam,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-232-0021    
Dr. Megan Gale Engelman, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1606 N 7th St, Terre Haute, IN 47804
Phone: 317-902-7309    
Adam Kynaston, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-232-0021    
Chidimma Nnedimma Offiah, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3901 S 7th St, Terre Haute, IN 47802
Phone: 812-232-0021    

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.