Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jeannine Mary Kelly, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1710925821

Mrs. Jeannine Mary Kelly, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Philadelphia, Pennsylvania. Qualified in 2004, 22 years ago. Practices with Ambulatory Anesthesia Specialists, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
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 Address checks out

111 S 11th St # 8490
Philadelphia, PA 19107-4824
Phone: (215) 955-6161
Fax: (215) 923-5507
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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 332116L (PA)

Record details

NPI number1710925821
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESJune 30, 2015

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Ambulatory Anesthesia Specialists, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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