Mr Jordan Ray Kelley, CRNA - Medicare Nurse Anesthetist, Certified Registered in Las Vegas, NV

Mr Jordan Ray Kelley, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Las Vegas, Nevada. His current practice location is 220 Emerald Vista Way Unit 167, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 720-5265.

Mr Jordan Ray Kelley is licensed to practice in Nevada (license number 826262) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891319398.

Contact Information

Mr Jordan Ray Kelley, CRNA
220 Emerald Vista Way Unit 167,
Las Vegas, NV 89144-4145
(702) 720-5265
(702) 996-4458

Map and Direction




Provider's Profile

Full NameMr Jordan Ray Kelley
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location220 Emerald Vista Way Unit 167, Las Vegas, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891319398
  • Provider Enumeration Date: 06/01/2020
  • Last Update Date: 07/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951777580
  • Enrollment ID: I20221021001530

Medical Identifiers

Medical identifiers for Mr Jordan Ray Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891319398NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 826262 (Nevada)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jordan Ray Kelley allows following entities to bill medicare on his behalf.
Entity NameFielden,hanson,isaacs,miyada,robison,yeh Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699710749
PECOS PAC ID: 5799683462
Enrollment ID: O20031219000623

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jordan Ray Kelley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jordan Ray Kelley, CRNA
220 Emerald Vista Way Unit 167,
Las Vegas, NV 89144-4145

Ph: (702) 720-5265
Mr Jordan Ray Kelley, CRNA
220 Emerald Vista Way Unit 167,
Las Vegas, NV 89144-4145

Ph: (702) 720-5265

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Las Vegas, NV

Morgan Che' Beeson, RN, MSN, CCRN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9127 W Russell Rd Ste 110, Las Vegas, NV 89148
Phone: 702-878-0070    Fax: 702-209-2064
Gian Fule, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102
Phone: 702-383-2000    Fax: 702-209-2064
Edgar Escobar,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102
Phone: 702-383-2000    
Johnette M Seecof, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2450 W Charleston Blvd, Las Vegas, NV 89102
Phone: 702-877-8661    
Mr. David Thomas Kwiatkowski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 6008 Ridgecarn Ave, Las Vegas, NV 89130
Phone: 702-644-2124    
Kristi Vick, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3186 S Maryland Pkwy, Las Vegas, NV 89109
Phone: 702-878-0070    
Mr. Vance Glenn Gainer Jr., CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4700 Las Vegas Blvd N, Las Vegas, NV 89191
Phone: 702-653-3526    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.