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

MS. Kelly Ann Kosciuk, RN

Individual provider Registered Nurse · NPI 1215639398

MS. Kelly Ann Kosciuk, RN is a Certified Registered Nurse Anesthetist (CRNA) in New Britain, Connecticut. Qualified in 2023, 3 years ago. Practices with North Shore - Lij Anesthesiology, PC, a 1,004-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
3
Licensed in
CT, NY
In the registry since
2023
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

100 Grand St
New Britain, CT 06052-2016
Phone: (860) 225-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Seymour St, Hartford, CT 06102-8000 — (203) 929-7353

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 12081 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 169184 (CT)
Registered Nurse Taxonomy 163W00000X · Licence 734250 (NY)

Record details

NPI number1215639398
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Shore - Lij Anesthesiology, Pc — 1004 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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