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

Tara Kelly, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1003252404

Tara Kelly, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Albuquerque, New Mexico. Qualified in 2013, 13 years ago. Practices with Santiam Memorial Hospital, a 125-clinician group and accepts Medicare assignment. Licensed in New Mexico and Oregon.

Years since qualifying
13
Licensed in
NM, OR
In the registry since
2013
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

6709 Academy Rd NE
Albuquerque, NM 87109-3363
Phone: (505) 308-3145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA-01287 (NM)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 10042220 (OR)

Record details

NPI number1003252404
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 13, 2013
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Santiam Memorial Hospital — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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