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

Kelly N. Carroll, CRNA

Individual provider Registered Nurse · NPI 1063815645

Kelly N. Carroll, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Loves Park, Illinois. Qualified in 2014, 12 years ago. Practices with Rockford Anesthesiologists Associated LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
12
Licensed in
IL, WI
In the registry since
2014
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

2202 Harlem Rd
Loves Park, IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 636-6125
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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 209.011923 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041.363284 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 172314-30 (WI)

Record details

NPI number1063815645
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 26, 2014
Last updated in NPPESMarch 28, 2017

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 Rockford Anesthesiologists Associated Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Loves Park