ELLISON PUA CONCEPCION CRNA MSN
NPI 1689187858
Nurse Anesthetist, Certified Registered in Los Angeles, CA

Active since November 09, 2017Accepts Medicare Assignment
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2000 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2021, Nov 9, 2017 (2 updates tracked since 2017).

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 affiliated with Abbott Northwestern Hospital and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689187858
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameELLISON PUA CONCEPCIONCredential: CRNA MSN
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address6041 Cadillac AveLos Angeles, CA 90034-1702
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 9, 2017
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPI 1689187858 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 · 95000804
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.

6041 CADILLAC AVE, Los Angeles, CA 90034

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

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.

PECOS PAC ID9739412719
PECOS Enrollment IDI20241212002837

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, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician 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.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Genetic Counselor, MS
6041 CADILLAC AVE, VENICE BUILDING, 3RD FLOOR
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER PERMANENTE WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE, KAISER PERMANENTE WLA
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist (Pharmacotherapy)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Pharmacist
6041 CADILLAC AVE
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.

What insurance does Ellison Concepcion accept?

Health plans from Medica list Ellison Concepcion 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.

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 with the weekly NPPES data releases published by CMS.