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ETHAN A ELLER CRNA
NPI 1558508002
Nurse Anesthetist, Certified Registered in Sacramento, CA

Active since January 20, 2009Accepts Medicare Assignment
4150 V STREET, PSSB SUITE 1200, UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MEDICINE, SACRAMENTO, CA 95817(916) 734-5042(916) 734-2975 Get Directions Write a Review

NPPES record last updated: January 20, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ethan A Eller Crna NPPES

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

ETHAN A ELLER CRNA (NPI 1558508002) is an individual nurse anesthetist, certified registered in Sacramento, California, licensed in California (586167) and active in the NPI registry since January 2009. He is a graduate of Other (2008).

NPPES Registry Identity

NPI1558508002
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameETHAN A ELLERCredential: CRNA
Location Address4150 V STREET, PSSB SUITE 1200, UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MEDICINESacramento, CA 95817-1460
Mailing Address4150 V Street, Pssb Suite 1200, Ucdmc Dept. Of Anesthesiology & Pain MedicineSacramento, CA 95817-1460 · (916) 734-5042 · Fax (916) 734-2975
Phone(916) 734-5042
Fax(916) 734-2975
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 20, 2009
✔ NPI 1558508002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 586167
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.
4150 V STREET, PSSB SUITE 1200, Sacramento, CA 95817
Open in Google Maps ↗

Other Identifiers 1

Other586167CA · Rn License

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

Ethan A Eller 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 ID1658429360
PECOS Enrollment IDI20090507000505

Medicare Billing Reassignments

3

Medicare enrollment records show Ethan Eller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The Univ Of Ca
Same address
Maternal & Fetal Medicine
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1013906973 (916) 734-6930
County Of San Joaquin
41 mi
Multi-Specialty
1414 NORTH CALIFORNIA STREET SUITE C
Stockton, CA 95202
  • Reassigned Medicare billing, California enrollment
  • 534 clinicians in this Medicare group
NPI 1891036612 (209) 953-6400
San Joaquin Faculty Medical Group
47 mi
Internal Medicine
500 HOSPITAL RD
French Camp, CA 95231
  • Reassigned Medicare billing, California enrollment
  • 512 clinicians in this Medicare group
NPI 1225063761 (209) 473-6555

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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 5

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

GARY STOCK CRNA
Nurse Anesthetist, Certified Registered
4150 V STREET, PSSB SUITE 1200, UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MEDICINE
SACRAMENTO, CA 95817
Sacramento County (916) 734-5042
MS. MELANIE SUSANNE ROWE CRNA
Nurse Anesthetist, Certified Registered
4150 V STREET, PSSB SUITE 1200, UCDMC DEPT OF ANESTHESIOLOGY AND PAIN MEDICINE
SACRAMENTO, CA 95817
Sacramento County (916) 734-5028
JAMES A GOLDING M.D.
Anesthesiology
4150 V STREET, PSSB SUITE 1200, UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MEDICINE
SACRAMENTO, CA 95817
Sacramento County (916) 724-5042
YVETTE MARIE MENDOZA CRNA
Nurse Anesthetist, Certified Registered
4150 V STREET, PSSB SUITE 1200, UCDMC DEPT. OF ANESTHESIOLOGY & PAIN MEDICINE
SACRAMENTO, CA 95817
Sacramento County (916) 734-5042
ROBERT JUDD DEATON JR. CRNA
Nurse Anesthetist, Certified Registered
4150 V STREET, PSSB SUITE 1200
SACRAMENTO, CA 95817
Sacramento County (916) 734-7985

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 Ethan Eller's NPI number?

The NPI number for Ethan Eller is 1558508002. It was assigned to this individual provider in the NPPES registry on January 20, 2009.

Where is Ethan Eller located?

Ethan Eller practices at 4150 V Street, Pssb Suite 1200 Ucdmc Dept. Of Anesthesiology & Pain Medicine, Sacramento, CA 95817. The listed phone number is (916) 734-5042.

What is Ethan Eller's specialty?

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

Is Ethan Eller enrolled in Medicare?

Yes. Ethan Eller 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 Ethan Eller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Eller reassigns Medicare benefits to 3 organizations: Regents Of The Univ Of Ca (Sacramento, CA), County Of San Joaquin (Stockton, CA) and San Joaquin Faculty Medical Group (French Camp, CA). 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 Ethan Eller'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 Ethan Eller was last updated on January 20, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.