ELLISON PUA CONCEPCION CRNA MSN
NPI 1689187858
Nurse Anesthetist, Certified Registered in Los Angeles, CA
About Ellison Pua Concepcion Crna Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLISON PUA CONCEPCION CRNA MSN (NPI 1689187858) is an individual nurse anesthetist, certified registered in Los Angeles, California, licensed in California (95000804) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2017).
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
Ellison Pua Concepcion Crna Msn 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 Reassignments
9Medicare enrollment records show Ellison Concepcion reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90034
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Beverly Hills, CA 90211
- Reassigned Medicare billing, California enrollment
- 34 clinicians in this Medicare group
Northridge, CA 91324
- Reassigned Medicare billing, California enrollment
- 15 clinicians in this Medicare group
Northridge, CA 91324
- Reassigned Medicare billing, California enrollment
- 11 clinicians in this Medicare group
West Hills, CA 91307
- Reassigned Medicare billing, California enrollment
- 99 clinicians in this Medicare group
Lamberton, MN 56152
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Burnsville, MN 55337
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Blaine, MN 55449
- Reassigned Medicare billing, Minnesota enrollment
- 29 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.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90034
LOS ANGELES, CA 90034
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 Ellison Concepcion's NPI number?
The NPI number for Ellison Concepcion is 1689187858. It was assigned to this individual provider in the NPPES registry on November 9, 2017.
Where is Ellison Concepcion located?
Ellison Concepcion practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.
What is Ellison Concepcion's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ellison Concepcion enrolled in Medicare?
Yes. Ellison Concepcion 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 Ellison Concepcion's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellison Concepcion reassigns Medicare benefits to 9 organizations: Southern California Permanente Medical Group (Los Angeles, CA), Axiom Anesthesia A Professional Nursing Corporation (Beverly Hills, CA), Synergy Anesthesia A Professional Nursing Corp (Northridge, CA), Northridge Pain Management Specialists Medical Corporation (Northridge, CA), Advanced Anesthesia Specialists A Medical Corporation (West Hills, CA) and 4 more organizations, listed in the Medicare section above. 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 Ellison Concepcion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ellison Concepcion affiliated with any hospitals?
According to CMS data, Ellison Concepcion is affiliated with Abbott Northwestern Hospital.
When was this NPI record last updated?
The NPPES record for Ellison Concepcion was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ellison Pua Concepcion, CRNA MSN · NPI 1689187858
Nurse Anesthetist, Certified Registered physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since November 9, 2017.
## Identity
- **NPI:** 1689187858 (Entity type: Individual)
- **Enumerated:** November 9, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95000804 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 6041 CADILLAC AVE, Los Angeles, CA 90034-1702
- **Phone:** (323) 857-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1043242563, Los Angeles, CA); Axiom Anesthesia A Professional Nursing Corporation (NPI 1760150155, Beverly Hills, CA); Synergy Anesthesia A Professional Nursing Corp (NPI 1578283305, Northridge, CA); Northridge Pain Management Specialists Medical Corporation (NPI 1972683555, Northridge, CA); Advanced Anesthesia Specialists A Medical Corporation (NPI 1871733600, West Hills, CA); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1689187858) · Data from the CMS NPPES public registry.