Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Jeannine Mary Kelly, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1710925821

Mrs. Jeannine Mary Kelly, CRNA is registered under Certified Registered Nurse Anesthetist (CRNA) in Philadelphia, Pennsylvania. Qualified in 2004, 22 years ago. Practices with Ambulatory Anesthesia Specialists, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

111 S 11th St # 8490
Philadelphia, PA 19107-4824 Not confirmed with CMS for 11 years — call before visiting
Phone: (215) 955-6161
Fax: (215) 923-5507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 332116L (PA)

Record details

NPI number1710925821
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESJune 30, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ambulatory Anesthesia Specialists, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients50
Services billed 51 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Ambulatory Anesthesia Specialists, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Philadelphia