Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany A Kelley, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417306838

Bethany A Kelley, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kansas City, Missouri. Qualified in 2016, 10 years ago. Practices with Northstar Anesthesia of Illinois, LLC, a 406-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois, Missouri and Wisconsin.

Years since qualifying
10
Licensed in
IL, MO, WI
In the registry since
2016
Specialties on file
3
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

4401 Wornall Rd
Kansas City, MO 64111
Phone: (816) 932-3679
Fax: (816) 932-9089
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 405 W Jackson St, Carbondale, IL 62901-1462 — (618) 549-0721
  • 201 S 14th St, Herrin, IL 62948-3631 — (618) 942-2171
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156
  • 4401 Wornall Rd, Kansas City, MO 64111 — (816) 932-3679

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 2010026479 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 7009-33 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209021707 (IL)

Record details

NPI number1417306838
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 7, 2016
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Northstar Anesthesia Of Illinois, Llc — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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