ROBERT L ELLISON CRNA
NPI 1265425714
Nurse Anesthetist, Certified Registered in Moscow, ID

Q: What is Robert Ellison's NPI number?

The NPI number for Robert Ellison is 1265425714. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Q: What is Robert Ellison's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Ellison was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2005

2300 W A ST, MOSCOW, ID 83843(208) 883-1500(208) 882-7701 Get Directions Write a Review

NPPES record last updated: July 13, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Robert L Ellison Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT L ELLISON CRNA (NPI 1265425714) is an individual nurse anesthetist, certified registered in Moscow, Idaho, licensed in Idaho (RNA-209) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1265425714

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameROBERT L ELLISONCredential: CRNA

Location Address2300 W A STMoscow, ID 83843-4038

Mailing AddressPo Box 1829Coeur D Alene, ID 83816-1829 · (208) 667-9334 · Fax (208) 664-2341

Phone(208) 883-1500

Fax(208) 882-7701

Sole ProprietorNo

Enumeration DateAugust 30, 2005

Last NPPES UpdateJuly 13, 2010

✔ NPI 1265425714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in ID · RNA-209✔ Licensed in WA · AP30004667

Definition

(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.

Also ListedAnesthesiologyTaxonomy 207L00000X · License N13917 (ID)

2300 W A ST, Moscow, ID 83843

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Other Identifiers 6

Medicaid9628264WA

OtherN13917ID · Idaho License

OtherA3565ID · Bc Id

Medicare ID-Type Unspecified1604139ID · Cigna Medicare

OtherP00137189Railroad Medicare

Medicaid805788500ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert L Ellison Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Robert Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moscow Mountain Anesthesia, PLLC

Same address

Nurse Anesthetist, Certified Registered

2300 W A ST
Moscow, ID 83843

Reassigned Medicare billing, Idaho enrollment
4 clinicians in this Medicare group

NPI 1275074486 (208) 883-1500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

115 services95 patients

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

26 services26 patients

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

14 services14 patients

Anesthesia for procedure on eyelid 00103

Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.

11 services11 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INLAND ANESTHESIA

Anesthesiology

2300 W A ST
MOSCOW, ID 83843

Latah County (208) 882-7530

MOSCOW MOUNTAIN ANESTHESIA, PLLC

Nurse Anesthetist, Certified Registered

2300 W A ST
MOSCOW, ID 83843

Latah County (208) 883-1500

R & B ANESTHESIA PLLC

Nurse Anesthetist, Certified Registered

2300 W A ST
MOSCOW, ID 83843

Latah County (208) 883-1500

PALOUSE SURGERY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

2300 W A ST
MOSCOW, ID 83843

Latah County (208) 883-1500

ROBERT K SMITH CRNA

Nurse Anesthetist, Certified Registered

2300 W A ST
MOSCOW, ID 83843

Latah County (208) 883-1500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Ellison's NPI number?

The NPI number for Robert Ellison is 1265425714. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Robert Ellison located?

Robert Ellison practices at 2300 W A St, Moscow, ID 83843. The listed phone number is (208) 883-1500.

What is Robert Ellison's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Robert Ellison enrolled in Medicare?

Yes. Robert Ellison is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Ellison reassigns Medicare benefits to Moscow Mountain Anesthesia, PLLC (Moscow, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Robert Ellison was last updated on July 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.