Shane Thomas Kelly
NPI 1215629753ActiveIndividual· Nurse Anesthetist, Certified Registered· Royal Oak, MI
Nurse Anesthetist, Certified Registered with Spectrum Health Primary Care Partners and 1 other group, practicing in Royal Oak, Michigan. Medicare paid $14,873 for services to 119 patients in 2024. Merck Sharp & Dohme LLC was the largest of 2 companies reporting payments in 2024, $66.67 in all, mostly food and beverage. Lists Mercy Health Saint Mary's and 1 other hospital as hospital affiliations.
Overview
| NPI | 1215629753 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | May 23, 2023 |
| Last updated in NPPES | Apr 23, 2026 |
| Certified by provider | Apr 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | 4704329144 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 124 across 47 procedure codes |
| Paid by Medicare | $14,873 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Spectrum Health Primary Care PartnersGrand Rapids, MI · 2,294 clinicians
- Saint Mary's Health ServicesGrand Rapids, MI · 173 clinicians
Hospital affiliations
- Mercy Health Saint Mary'sGrand Rapids, MI
- Spectrum HealthGrand Rapids, MI
Industry payments (Open Payments)
- 2024$66.67 · 3 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Merck Sharp & Dohme LLC | $36.15 | 2 |
| Becton, Dickinson and Company | $30.52 | 1 |
What the 2024 payments were for
- Food and Beverage$66.67 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 233 nurse anesthetists in Royal Oak · All nurse anesthetists in Michigan