Kelly Carrillo, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Tucson, AZ

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Kelly Carrillo, CRNA is a medicare enrolled "Registered Nurse" physician in Tucson, Arizona. She graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southern Arizona Anesthesia Services Pc, Desert Sunrise Anesthesia Pllc, Ias Arizona Pllc, Banner-university Medical Group and her current practice location is 1625 N Campbell Ave, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 792-1450.

Kelly Carrillo is licensed to practice in Arizona (license number RN176261) 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 1063806214.

Contact Information

Kelly Carrillo, CRNA
1625 N Campbell Ave,
Tucson, AZ 85719-4330
(520) 792-1450
Not Available

Map and Direction




Physician's Profile

Full NameKelly Carrillo
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location1625 N Campbell Ave, Tucson, Arizona
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:
  • Kelly Carrillo graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1063806214
  • Provider Enumeration Date: 03/26/2015
  • Last Update Date: 03/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537563309
  • Enrollment ID: I20210802003157

Medical Identifiers

Medical identifiers for Kelly Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063806214NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology 261429 (Arizona)Secondary
163W00000XRegistered Nurse RN176261 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Joseph's HospitalTucson, AZHospital
Tucson Medical CenterTucson, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern Arizona Anesthesia Services Pc185038256543
Desert Sunrise Anesthesia Pllc38709018208
Ias Arizona Pllc7517312648127
Banner-university Medical Group7719899871950

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. Kelly Carrillo allows following entities to bill medicare on her behalf.
Entity NameBanner-university Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508809427
PECOS PAC ID: 7719899871
Enrollment ID: O20031105000694
Entity NameSouthern Arizona Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912999343
PECOS PAC ID: 1850382565
Enrollment ID: O20040521000010
Entity NameDesert Sunrise Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619562006
PECOS PAC ID: 3870901820
Enrollment ID: O20210413000549
Entity NameIas Arizona Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689359747
PECOS PAC ID: 7517312648
Enrollment ID: O20231010003129

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. Kelly Carrillo 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
Kelly Carrillo, CRNA
4237 E Kilmer St,
Tucson, AZ 85711-2825

Ph: (520) 539-8905		Kelly Carrillo, CRNA
1625 N Campbell Ave,
Tucson, AZ 85719-4330

Ph: (520) 792-1450

Reviews and Comments



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.