SHELLEY H KELLY CRNA
NPI 1275540957
Nurse Anesthetist, Certified Registered in Tupelo, MS
NPI Status: Active since August 02, 2006
Contact Information
830 SOUTH GLOSTER
TUPELO, MS
ZIP 38801
Phone: (662) 377-4394
Fax: (662) 377-7045
- Individual
- Male
- Nurse Anesthetist, Certified Registered
About SHELLEY KELLY
This page provides the complete NPI Profile along with additional information for Shelley Kelly, a provider established in Tupelo, Mississippi with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1275540957 assigned on August 2006. The practitioner's primary taxonomy code is 367500000X with license number R861213 (MS). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1275540957
- Provider Name
- SHELLEY H KELLY CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 830 SOUTH GLOSTER TUPELO, MS 38801
- Location Phone
- (662) 377-4394
- Location Fax
- (662) 377-7045
- Mailing Address
- PO BOX 3294 TUPELO, MS 38803
- Mailing Phone
- (662) 377-4394
- Mailing Fax
- (662) 377-7045
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-02-2006
- Last Update Date
- 11-16-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R861213
- License State
- MS
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 430001915 | MEDICARE ID-TYPE UNSPECIFIED (04) | MS | |
| R61176 | MEDICARE UPIN (02) | ||
| 00122228 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 7 | 5 | 5 | 4 | 0 | 9 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 4 | 0 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 4 + 0 + 9 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1275540957 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1558390443 | TUPELO ANESTHESIA GROUP PA Organization | Anesthesiology | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1225063423 | STACE G BEARD CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1043245244 | DONALD R CARTER CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1215953401 | MELANIE P MARWEG CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1821014804 | KIMBERLY L REMMERS CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1720004914 | CHARLES E DALTON JR. CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1336165521 | SUMMER P SWINNEY CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1225054422 | GREGORY HURD CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1679590434 | SANDRA H MARLIN CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1467479964 | MICHAEL R BENGE CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1942227426 | DAVID M EBLE CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1720005200 | ROBERT K ROGERS CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1346267838 | STEPHEN WAYNE BARKER CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1164449658 | JIMMY R JACKSON CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1043238488 | JENNIFER M LITTLE CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1770505356 | PETER MICHAEL MCCORMICK CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1689696262 | MARY C WHITE CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1710995675 | RONALD B WRIGHT CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1649389453 | DANA S MANN CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
| 1942383492 | DAVID J CHISHOLM CRNA Individual | Nurse Anesthetist, Certified Registered | 830 SOUTH GLOSTER TUPELO, MS 38801 (662) 377-4394 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275540957, enumerated in the NPI registry as an "individual" on August 02, 2006
The provider is located at 830 South Gloster Tupelo, Ms 38801 and the phone number is (662) 377-4394
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.