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

Kaitlyn Ann Telle, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1205549870

Kaitlyn Ann Telle, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2023, 3 years ago. Practices with Surgery One Anesthesia LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
3
Licensed in
IL, IN
In the registry since
2022
Specialties on file
2
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

5050 N Clinton St
Fort Wayne, IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
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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 28286190A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 041.465963 (IL)

Record details

NPI number1205549870
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Surgery One Anesthesia Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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