Kelly Large
NPI 1558819805 · Certified Registered Nurse Anesthetist · Shelby Twp, MI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Large is a Certified Registered Nurse Anesthetist provider in Shelby Twp, MI (NPI 1558819805).
Provider details
- NPI number
- 1558819805
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704281314 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-09-15
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Frequently asked questions
- What is Kelly Large's NPI number?
- Kelly Large's National Provider Identifier (NPI) is 1558819805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Large's specialty?
- Kelly Large is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Large located?
- Kelly Large's practice location on file with NPPES is 54460 Blue Cloud Dr, Shelby Twp, MI 48315-1226.
- What is Kelly Large's phone number?
- The practice phone number listed in the NPPES registry for Kelly Large is (586) 703-3018.
- Does Kelly Large accept Medicare?
- Kelly Large is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Large's NPI active?
- Yes — Kelly Large's NPI (1558819805) is active in the NPPES registry as of the last update on 2020-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.