Kelly J. Fiack, CRNA
NPI 1669812111ActiveIndividual· Nurse Anesthetist, Certified Registered· Bangor, ME
Nurse Anesthetist, Certified Registered (CRNA) with Anesthesia Partners and Management LLC and 1 other group, practicing in Bangor, Maine. Medicare paid $40,903 for services to 305 patients in 2024. Boston Scientific Corporation reported $20.48 in payments in 2024, mostly food and beverage. Lists Flagstaff Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1669812111 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CRNA |
| Sole proprietor | No |
| NPI issued | Jun 28, 2013 |
| Last updated in NPPES | Jun 28, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | RNA133018 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Certified Registered Nurse Anesthetist (CRNA) (AZ); Practitioner - Certified Registered Nurse Anesthetist (CRNA) (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 305 |
|---|---|
| Services billed | 376 across 44 procedure codes |
| Paid by Medicare | $40,903 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Certified Registered Nurse Anesthetist (Crna) |
Medical groups
- Anesthesia Partners and Management LLCPrescott, AZ · 146 clinicians
- Guide Anesthesia Az LLCPhoenix, AZ · 104 clinicians
Hospital affiliations
- Flagstaff Medical CenterFlagstaff, AZ
- The Core Institute Specialty HospPhoenix, AZ
- Wickenburg Community HospitalWickenburg, AZ
Industry payments (Open Payments)
- 2024$20.48 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $20.48 | 1 |
What the 2024 payments were for
- Food and Beverage$20.48 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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