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

Kelly M Derise

Individual provider Certified Registered Nurse Anesthetist · NPI 1427867316

Kelly M Derise is a Certified Registered Nurse Anesthetist (CRNA) in New Orleans, Louisiana. Qualified in 2025, 1 year ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in Louisiana and New York.

Years since qualifying
1
Licensed in
LA, NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1900 Gravier St
New Orleans, LA 70112-2262
Phone: (504) 568-4106
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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 985451 (NY)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 205692 (LA)

Record details

NPI number1427867316
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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