| Jordan Lacey Kelly, CRNA | |
|
636 Del Prado Blvd S, Cape Coral, FL 33990-2668 | |
| (888) 339-8727 | |
| Not Available |
| Full Name | Jordan Lacey Kelly |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 636 Del Prado Blvd S, Cape Coral, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134847528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 9445555 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11028253 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cape Coral Hospital | Cape coral, FL | Hospital |
| Lee Memorial Hospital | Fort myers, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Us Anesthesia Partners Of Florida Inc | 0345143152 | 934 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Lacey Kelly, CRNA 13350 Metro Pkwy Ste 301, Fort Myers, FL 33966-4796 Ph: () - | Jordan Lacey Kelly, CRNA 636 Del Prado Blvd S, Cape Coral, FL 33990-2668 Ph: (888) 339-8727 |
Marilyn Jean Fisher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 636 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-2000 | |
Edgardo E Lugo, CRNA, MS Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1709 Everest Pkwy, Cape Coral, FL 33904 Phone: 787-408-0676 | |
Kathryn Burgess, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 665 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-770-7322 | |
Stacey L. Fowler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2490 Ashbury Cir, Cape Coral, FL 33991 Phone: 859-333-7542 | |
Ms. Andrea Gulasi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2721 Del Prado Blvd, Cape Coral Surgery Center Suite 100, Cape Coral, FL 33904 Phone: 239-242-8010 Fax: 239-242-8020 | |
Mrs. Christina Maria Papciak, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 665 Dcl Prado Blvd, Cape Coral, FL 33990 Phone: 239-772-8892 Fax: 237-574-6262 | |
Mr. Marvin Hill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 665 Del Prado Blvd S, Cape Coral, FL 33990 Phone: 239-424-6000 |