MR. JOHN W ELLIS CRNA
NPI 1669469128
Anesthesiology in Conway, AR
About Mr. John W Ellis Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN W ELLIS CRNA (NPI 1669469128) is an individual anesthesiology provider in Conway, Arkansas, licensed in Arkansas (C01093) and active in the NPI registry since September 2005. He is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. John W 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.
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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CONWAY, AR 72034
CONWAY, AR 72034
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 John Ellis's NPI number?
The NPI number for John Ellis is 1669469128. It was assigned to this individual provider in the NPPES registry on September 30, 2005.
Where is John Ellis located?
John Ellis practices at 525 Western Ave Ste 201, Conway, AR 72034. The listed phone number is (501) 327-6665.
What is John Ellis's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is John Ellis enrolled in Medicare?
Yes. John 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.
What insurance does John Ellis accept?
Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list John Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John Ellis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days 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.
# Mr. John W Ellis, CRNA · NPI 1669469128
Anesthesiology physician in Conway, Arkansas. Individual provider, active in the CMS NPPES registry since September 30, 2005.
## Identity
- **NPI:** 1669469128 (Entity type: Individual)
- **Enumerated:** September 30, 2005
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** C01093 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 525 WESTERN AVE, STE 201, Conway, AR 72034-4967
- **Phone:** (501) 327-6665 · **Fax:** (501) 730-0289
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** July 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669469128) · Data from the CMS NPPES public registry.