KELLY MARIE MATHISON NPI 1073881629

NPI Information

  • NPI: 1073881629
  • Provider Name: KELLY MARIE MATHISON
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 703 N MCEWAN ST
    CLARE, MI
    ZIP 48617
  • Phone: (898) 802-5000

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NPI Details

Kelly Marie Mathison is a nurse anesthetist certified registered in Clare, MI with 15 years of experience. The provider is (1) A licensed 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. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Kelly Marie Mathison NPI is 1073881629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

703 N MCEWAN ST
CLARE, MI
ZIP 48617-440
Phone: (898) 802-5000

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Anesthesia for exam of colon using an endoscope (HCPCS:00812)
  • Anesthesia for lens surgery (HCPCS:00142)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)

The enumeration date for this NPI number is 12/11/2011 and was last updated on 9/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse4704254007MICHIGANNo
2367500000XNurse Anesthetist, Certified Registered4704254007MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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