Dr Kelley Larson Etheridge, APRN/CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Glastonbury, CT

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Dr Kelley Larson Etheridge, APRN/CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Glastonbury, Connecticut. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesiologists Of Middletown, P.c., Woodland Anesthesia Associates Pc and her current practice location is 195 Eastern Blvd, Glastonbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 667-9542.

Dr Kelley Larson Etheridge is licensed to practice in Connecticut (license number 7675) 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 1821574310.

Contact Information

Dr Kelley Larson Etheridge, APRN/CRNA
195 Eastern Blvd,
Glastonbury, CT 06033-4312
(860) 667-9542
Not Available

Map and Direction




Provider's Profile

Full NameDr Kelley Larson Etheridge
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience7 Years
Location195 Eastern Blvd, Glastonbury, Connecticut
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:
  • Dr Kelley Larson Etheridge graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1821574310
  • Provider Enumeration Date: 07/17/2018
  • Last Update Date: 04/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3870843048
  • Enrollment ID: I20180910001083

Medical Identifiers

Medical identifiers for Dr Kelley Larson Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821574310NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 7675 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Middlesex HospitalMiddletown, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesiologists Of Middletown, P.c.276947978137
Woodland Anesthesia Associates Pc8820083652164

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. Dr Kelley Larson Etheridge allows following entities to bill medicare on her behalf.
Entity NameIntegrated Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881636397
PECOS PAC ID: 1759281165
Enrollment ID: O20040112000163
Entity NameWoodland Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437109824
PECOS PAC ID: 8820083652
Enrollment ID: O20040420000027
Entity NameAnesthesiologists Of Middletown, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851317135
PECOS PAC ID: 2769479781
Enrollment ID: O20040429001224

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. Dr Kelley Larson Etheridge 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
Dr Kelley Larson Etheridge, APRN/CRNA
88 Black Walnut Dr,
Durham, CT 06422-1400

Ph: (860) 575-2052		Dr Kelley Larson Etheridge, APRN/CRNA
195 Eastern Blvd,
Glastonbury, CT 06033-4312

Ph: (860) 667-9542

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Glastonbury, CT

Raymund Claudio Jr.,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 300 Western Blvd Ste B, Glastonbury, CT 06033
Phone: 860-657-1950    Fax: 860-657-1951

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.