Ms Kelly Jean Mis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Hammond, IN

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Ms Kelly Jean Mis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hammond, Indiana. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Dynamics Llc, Elite Anesthesia Providers Ltd, Indiana Ams Llc, Northstar Anesthesia Of Indiana Llc, Stat Anesthesia Specialists Ltd and her current practice location is 5454 Hohman Ave, Hammond, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 932-2300.

Ms Kelly Jean Mis is licensed to practice in Indiana (license number 28151162A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396089157.

Contact Information

Ms Kelly Jean Mis, CRNA
5454 Hohman Ave,
Hammond, IN 46320-1931
(219) 932-2300
Not Available

Map and Direction




Provider's Profile

Full NameMs Kelly Jean Mis
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location5454 Hohman Ave, Hammond, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kelly Jean Mis graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1396089157
  • Provider Enumeration Date: 11/19/2012
  • Last Update Date: 08/14/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2466607916
  • Enrollment ID: I20130306000528

Medical Identifiers

Medical identifiers for Ms Kelly Jean Mis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396089157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 28151162A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Franciscan Health MunsterMunster, INHospital
Methodist Hospitals IncGary, INHospital
Franciscan Health DyerDyer, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Dynamics Llc3779832530363
Elite Anesthesia Providers Ltd670924900626
Indiana Ams Llc39718578978
Northstar Anesthesia Of Indiana Llc1153576905116
Stat Anesthesia Specialists Ltd812303147323

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. Ms Kelly Jean Mis allows following entities to bill medicare on her behalf.
Entity NameStat Anesthesia Specialists Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699724781
PECOS PAC ID: 8123031473
Enrollment ID: O20070529000372
Entity NameNorthstar Anesthesia Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043561541
PECOS PAC ID: 1153576905
Enrollment ID: O20130227000297
Entity NameIndiana Ams Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275018236
PECOS PAC ID: 3971857897
Enrollment ID: O20181113001456
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20191011000052
Entity NameAms Northern Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427619840
PECOS PAC ID: 8022444306
Enrollment ID: O20200205000244
Entity NameElite Anesthesia Providers Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679258388
PECOS PAC ID: 6709249006
Enrollment ID: O20240110000479

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. Ms Kelly Jean Mis 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
Ms Kelly Jean Mis, CRNA
1726 Sheridan Ave,
Whiting, IN 46394-1729

Ph: (219) 218-6730		Ms Kelly Jean Mis, CRNA
5454 Hohman Ave,
Hammond, IN 46320-1931

Ph: (219) 932-2300

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Hammond, IN

Jean M Roche, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5454 Hohman Ave, Hammond, IN 46320
Phone: 219-933-2270    Fax: 219-852-2515
Alisha Kettner, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5454 Hohman Ave, Hammond, IN 46320
Phone: 219-933-2270    Fax: 219-852-2515
Lillibet G Escalante, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5454 Hohman Avenue, Hammond, IN 46320
Phone: 219-933-2270    Fax: 219-852-2515
Editha E Julian-stiegel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5454 Hohman Ave, Hammond, IN 46320
Phone: 219-933-2270    Fax: 219-852-2515
Mr. Joseph J Montana, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5454 Hohman Ave, Hammond, IN 46320
Phone: 219-933-2270    Fax: 219-852-2515
Diana L. Biniewicz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5454 Hohman Ave, Hammond, IN 46320
Phone: 219-933-2117    

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.