Mrs Kelly Mukti Flynn, CRNA in Fond Du Lac, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Mrs Kelly Mukti Flynn, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fond Du Lac, Wisconsin. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Ias Illinois Pc, Agnesian Healthcare Inc and her current practice location is 430 E Division St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 929-2300.

Mrs Kelly Mukti Flynn is licensed to practice in Wisconsin (license number 7895) 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 1235417320.

Contact Information

	Mrs Kelly Mukti Flynn, CRNA
	430 E Division St, Fond Du Lac, WI 54935-4560
	(920) 929-2300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Mukti Flynn
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	430 E Division St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelly Mukti Flynn graduated from nursing school in 2016

NPI Data:

NPI Number: 1235417320
Provider Enumeration Date: 07/24/2011
Last Update Date: 06/09/2026

Medicare PECOS Information:

PECOS PAC ID: 9830487016
Enrollment ID: I20240819001069

Medical Identifiers

Medical identifiers for Mrs Kelly Mukti Flynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235417320	NPI	-	NPPES
100073374	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209-020032 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	7895 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Agnes Hospital	Fond du lac, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ias Illinois Pc	9638530991	81
Agnesian Healthcare Inc	1658289624	384

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. Mrs Kelly Mukti Flynn allows following entities to bill medicare on her behalf.

Entity Name	Northstar Anesthesia Of Illinois, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405

Entity Name	Ias Illinois Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20230802002876

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. Mrs Kelly Mukti Flynn 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 Address	Practice Location Address
Mrs Kelly Mukti Flynn, CRNA 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (920) 303-8700	Mrs Kelly Mukti Flynn, CRNA 430 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 929-2300

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fond Du Lac, WI

Mary Lausch Arrigoni, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-5942
Carol A Craig, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-2300
Sydney Li Blaine, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1004 Bluehill Ave, Fond Du Lac, WI 54935 Phone: 920-904-4807
Wendy E Wiese, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 430 E Division St, Suite 4, Fond Du Lac, WI 54935 Phone: 920-926-2300
Mr. Gilberto Cantu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-929-2300
Steven J. Feit, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 430 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-4920

Mrs Kelly Mukti Flynn, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fond Du Lac, WI