Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelly N. Carroll, CRNA

Certified Registered Nurse Anesthetist in Loves Park, IL · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063815645

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Registry record

Entity type Individual (Type 1)

Name Kelly N. Carroll

Credential CRNA

Sex Female

Practice address 2202 Harlem Rd, Loves Park, IL, 61111

Phone (815) 877-4848

Fax (815) 636-6125

Enumeration date Sep 26, 2014

Last updated in NPPES Mar 28, 2017

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License 041.363284 (IL) Secondary

163W00000X Registered Nurse Nursing Service Providers · License 172314-30 (WI) Secondary

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 209.011923 (IL) Primary

CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier	Type	State	Issuer
F400175500	Other	IL	MEDICARE PTAN
P01459217	Other	IL	RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Kelly Carroll practice?

The practice location on file with NPPES is in Loves Park, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Kelly Carroll?

The National Provider Identifier (NPI) for Kelly Carroll is 1063815645, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Karin Gory Certified Registered Nurse Anesthetist · Loves Park, IL NPI 1871564955 Rockford Anesthesiologists Associated, L.L.C. Anesthesiology Physician · Loves Park, IL NPI 1639128598 George Arends Anesthesiology Physician · Loves Park, IL NPI 1780628008 Norbert Duttlinger Anesthesiology Physician · Loves Park, IL NPI 1407891385 Lowell Enser Anesthesiology Physician · Loves Park, IL NPI 1154366888 Gary Oldenburg Anesthesiology Physician · Loves Park, IL NPI 1376588657 Maria Laporta Anesthesiology Physician · Loves Park, IL NPI 1518903483 Douglas Loughead Anesthesiology Physician · Loves Park, IL NPI 1225074891

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-28.