PAMELA JEAN ELLIS APRN,CRNA
NPI 1376840637
Nurse Anesthetist, Certified Registered in Glencoe, MN

Active since February 23, 2011PECOS EnrolledAccepts Medicare Assignment
1805 HENNEPIN AVE N, GLENCOE, MN 55336(320) 864-3121 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 15, 2023, Apr 1, 2020, Aug 27, 2018 (3 updates tracked since 2018).

About Pamela Jean Ellis Aprn,crna NPPES

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

PAMELA JEAN ELLIS APRN,CRNA (NPI 1376840637) is an individual nurse anesthetist, certified registered in Glencoe, Minnesota, licensed in Minnesota (1982) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1376840637
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NamePAMELA JEAN ELLISCredential: APRN,CRNA
Location Address1805 HENNEPIN AVE NGlencoe, MN 55336-1416
Mailing Address1805 Hennepin Ave NGlencoe, MN 55336-1416 · (320) 864-7812
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2010
Enumeration DateFebruary 23, 2011
Last NPPES UpdateNovember 15, 20233 updates tracked since enumeration
NPPES CertifiedNovember 15, 2023
✔ NPI 1376840637 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
License✔ Licensed in MN · 1982
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 ListedRegistered NurseTaxonomy 163W00000X · License 136088-8 (MN)
1805 HENNEPIN AVE N, Glencoe, MN 55336

Secondary Practice Location 1

Location 1701 Park AveMinneapolis, MN 55415-1623 · Phone (612) 873-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pamela Jean Ellis Aprn,crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709045016
PECOS Enrollment IDI20200601001397
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Pamela Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1805 HENNEPIN AVE N
Glencoe, MN 55336
  • Reassigned Medicare billing, Minnesota enrollment
  • 95 clinicians in this Medicare group
Clinic/Center
300 S 6TH ST, GOVERNMENT CENTER-A 120
Minneapolis, MN 55487
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,247 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

Glencoe Regional Health

Critical Access Hospitals · Glencoe, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241355
Location1805 Hennepin Avenue NorthGlencoe, MN 55336 · Mc Leod County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Podiatrist (Foot & Ankle Surgery)
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Nurse Practitioner (Family)
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physician Assistant
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Pediatrics
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physician Assistant
1805 HENNEPIN AVE N
GLENCOE, MN 55336

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 Pamela Ellis's NPI number?

The NPI number for Pamela Ellis is 1376840637. It was assigned to this individual provider in the NPPES registry on February 23, 2011.

Where is Pamela Ellis located?

Pamela Ellis practices at 1805 Hennepin Ave N, Glencoe, MN 55336. The listed phone number is (320) 864-3121.

What is Pamela Ellis's specialty?

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

Is Pamela Ellis enrolled in Medicare?

Yes. Pamela Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pamela Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pamela Ellis reassigns Medicare benefits to 2 organizations: Glencoe Regional Health Services (Glencoe, MN) and Hennepin Healthcare System, Inc (Minneapolis, MN). Each 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 Pamela Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pamela Ellis affiliated with any hospitals?

According to CMS data, Pamela Ellis is affiliated with Hennepin County Medical Center and Glencoe Regional Health.

When was this NPI record last updated?

The NPPES record for Pamela Ellis was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.