Kelly N. Carroll

CRNA | Nurse Anesthetist | 11+ years Exp

2202 Harlem Rd, Loves Park
  Illinois, 61111-2754
815-877-4848
Accepts Medicare Nurse Anesthetist in Loves Park, Illinois.
Kelly N. Carroll is a Loves Park, Illinois based nurse anesthetist with 11 years of experience as Nurse Anesthetist. She completed she graduation in 2014. 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 N. Carroll is 209.011923 for Anesthesia Administration in Illinois. Her current practice location is 2202 Harlem Rd, Loves Park. Patients can reach her at 815-877-4848 or can fax her at 815-636-6125. Kelly N. Carroll is CRNA with specialization in Nurse Anesthetist and she NPI number (Unique professional ID assigned by NPPES) is 1063815645.
Kelly N. Carroll 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 N. Carroll 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: Nurse Anesthetist
Credentials: CRNA
Experience: 11+ years
Medical School Attended:Other
Graduation Year:2014
Gender:Female
Accepts Medicare Assignment:Yes
Practice Address:2202 Harlem Rd, Loves Park,
Illinois, 61111-2754
Phone:815-877-4848
Fax:815-636-6125
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: 9436371036
Enrollment ID: I20141115000308
NPI Number: 1063815645
NPI Enumeration Date: 26 Sep, 2014
NPI Last Update On: 28 Mar, 2017

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 N. Carroll are as mentioned below.
License NumberSpecializationStateStatus
209.011923Anesthesia Administration IllinoisPrimary
041.363284Registered Nurse IllinoisSecondary
172314-30Registered Nurse WisconsinSecondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Swedish American Hospital (140228)Rockford, ILAcute Care Hospital
Fhn Memorial Hospital (140160)Freeport, ILAcute Care Hospital
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 N. Carroll has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Midwest Anesthesia Providers Sc (9830480581)121
Rockford Anesthesiologists Associated Llc (5597668004)56
Other Medical Identifiers:
Other legacy medical identifiers associated with Kelly N. Carroll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
F400175500OtherIllinoisMEDICARE PTAN
P01459217OtherIllinoisRAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 2202 Harlem Rd,
Loves Park, Illinois
Zip: 61111-2754
Phone Number: 815-877-4848
Fax Number: 815-636-6125
Patients can reach Kelly N. Carroll at 2202 Harlem Rd, Loves Park, Illinois or can call to book an appointment on 815-877-4848.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.