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

Individual provider Certified Registered Nurse Anesthetist · NPI 1912089301

Kirstin M Pellom, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Durham, North Carolina. Graduated from Duke University School of Medicine in 2003, 23 years ago. Practices with Providence Anesthesiology Associates PA, a 220-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Trained at
Duke University School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Partly verified

Some contact details are missing from the federal record.

Erwin Rd
Durham, NC 27710-0001
Phone: (919) 684-8111
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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 140830 (NC)

Record details

NPI number1912089301
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Providence Anesthesiology Associates Pa — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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