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

Kelly Michael Martin, CRNA

Individual provider Registered Nurse · NPI 1124430764

Kelly Michael Martin, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in York, Pennsylvania. Qualified in 2014, 12 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
12
Licensed in
PA
In the registry since
2014
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

1001 S George St
York, PA 17403-3676
Phone: (717) 812-7687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 55 Monument Rd, York, PA 17403-5023 — (717) 812-6425

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN590370 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN590370 (PA)

Record details

NPI number1124430764
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 2, 2014
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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