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

Stacye Kellermann

Individual provider Certified Registered Nurse Anesthetist · NPI 1831698646

Stacye Kellermann is a Certified Registered Nurse Anesthetist (CRNA) in Chicago, Illinois. Graduated from Georgetown University School of Medicine in 2017, 9 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Georgetown University School of Medicine
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

1740 W Taylor St Ste 3200W
Chicago, IL 60612-7232
Phone: (312) 996-4022
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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 209.017235 (IL)

Record details

NPI number1831698646
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 7, 2018
Last updated in NPPESFebruary 7, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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