MRS. SUSAN D ELLIS CRNA
NPI 1669409462
Nurse Anesthetist, Certified Registered in Camp Hill, PA
About Mrs. Susan D Ellis Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SUSAN D ELLIS CRNA (NPI 1669409462) is an individual nurse anesthetist, certified registered in Camp Hill, Pennsylvania, licensed in Pennsylvania (47776AANA) and active in the NPI registry since June 2006. She is affiliated with Penn State Health Holy Spirit Medical Center and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Susan D Ellis 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.
Medicare Billing Reassignment
Medicare enrollment records show Susan Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Camp Hill, PA 17011
- Reassigned Medicare billing, Pennsylvania enrollment
- 994 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn State Health Holy Spirit Medical Center
Acute Care Hospitals · Camp Hill, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CAMP HILL, PA 17011
CAMP HILL, PA 17011
CAMP HILL, PA 17011
CAMP HILL, PA 17011
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 Susan Ellis's NPI number?
The NPI number for Susan Ellis is 1669409462. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Susan Ellis located?
Susan Ellis practices at 503 N 21st Street, Camp Hill, PA 17011. The listed phone number is (717) 763-2121.
What is Susan Ellis's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Susan Ellis enrolled in Medicare?
Yes. Susan 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 organization bills Medicare for Susan Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ellis reassigns Medicare benefits to Penn State Health Medical Group, LLC (Camp Hill, PA). 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 Susan Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Susan Ellis affiliated with any hospitals?
According to CMS data, Susan Ellis is affiliated with Penn State Health Holy Spirit Medical Center.
When was this NPI record last updated?
The NPPES record for Susan Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Susan D Ellis, CRNA · NPI 1669409462
Nurse Anesthetist, Certified Registered physician in Camp Hill, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1669409462 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 47776AANA (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 503 N 21ST STREET, Camp Hill, PA 17011
- **Phone:** (717) 763-2121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Penn State Health Medical Group, LLC (NPI 1225783871, Camp Hill, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1669409462) · Data from the CMS NPPES public registry.