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

Individual provider Certified Registered Nurse Anesthetist · NPI 1760831754

Stephen Earl Kelley, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2016, 10 years ago. Practices with Midsouth Speciality Anesthesia Services LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Indiana and Tennessee.

Years since qualifying
10
Licensed in
IN, TN
In the registry since
2016
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

877 Jefferson Ave
Memphis, TN 38103
Phone: (901) 545-7100
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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 28228678A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 24275 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 28228678A (IN)

Record details

NPI number1760831754
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 9, 2016
Last updated in NPPESJune 15, 2018
Mailing address12215 Lanai Dr, Fort Wayne, IN 46818-8552

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Midsouth Speciality Anesthesia Services Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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