Kelly Lynn Pietan is a Jacksonville, Florida based nurse anesthetist with 17 years of experience as Anesthesia Administration. She completed she graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly Lynn Pietan is ARNP9184815 for Anesthesia Administration in Florida. Her current practice location is 655 W 8th St, Ufjax - Dept. Of Anesthesiology, Jacksonville. Patients can reach her at 904-244-4195 or can fax her at 904-244-4908. Kelly Lynn Pietan is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1336388982. Kelly Lynn Pietan is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Kelly Lynn Pietan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Anesthesia Administration
Credentials:
CRNA
Experience:
17+ years
Medical School Attended:
Other
Graduation Year:
2008
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
655 W 8th St, Ufjax - Dept. Of Anesthesiology, Jacksonville, Florida, 32209-6511
Phone:
904-244-4195
Fax:
904-244-4908
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5698832723
Enrollment ID:
I20090317000491
NPI Number:
1336388982
NPI Enumeration Date:
05 Feb, 2009
NPI Last Update On:
23 Dec, 2015
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Lynn Pietan are as mentioned below.
License Number
Specialization
State
Status
ARNP9184815
Anesthesia Administration
Florida
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kelly Lynn Pietan has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Us Anesthesia Partners Of Florida Inc (0345143152)
693
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly Lynn Pietan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
602083230C
Medicaid
Florida
602083230B
Medicaid
Georgia
0007980-00
Medicaid
Florida
602083230A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 44008, Ufjp - Provider Enrollment Jacksonville, Florida
Zip:
32231-4008
Phone Number:
904-244-3199
Fax Number:
904-244-3425
Patients can reach Kelly Lynn Pietan at 655 W 8th St, Ufjax - Dept. Of Anesthesiology, Jacksonville, Florida or can call to book an appointment on 904-244-4195.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.