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SUSAN ELLSBERRY C.R.N.A.
NPI 1710984356
Specialist in Baltimore, MD

Active since June 28, 2005
2610 E BALTIMORE ST, BALTIMORE, MD 21224(410) 821-7644 Get Directions Write a Review

NPPES record last updated: June 6, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Susan Ellsberry C.r.n.a. NPPES

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

SUSAN ELLSBERRY C.R.N.A. (NPI 1710984356) is an individual specialist in Baltimore, Maryland, licensed in Maryland (R093801) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1710984356
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameSUSAN ELLSBERRYCredential: C.R.N.A.
Location Address2610 E BALTIMORE STBaltimore, MD 21224-1129
Mailing Address2610 E Baltimore StBaltimore, MD 21224-1129
Phone(410) 821-7644
Sole ProprietorNo
Enumeration DateJune 28, 2005
Last NPPES UpdateJune 6, 2012
✔ NPI 1710984356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MD · R093801
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2610 E BALTIMORE ST, Baltimore, MD 21224
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Other Identifiers 2

Other454MG840MD · Trailblazer
Medicaid984560700MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susan Ellsberry C.r.n.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Susan Ellsberry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group Anesthesiology LLC
3.2 mi
Anesthesiology
201 E UNIVERSITY PKWY
Baltimore, MD 21218
  • Reassigned Medicare billing, Maryland enrollment
  • 311 clinicians in this Medicare group
NPI 1528578333 (703) 558-1403
Katzen Medical Associates, PC
8.8 mi
Ophthalmology
1209 YORK RD, SUITE 200
Lutherville, MD 21093
  • Reassigned Medicare billing, Maryland enrollment
  • 40 clinicians in this Medicare group
NPI 1326052614 (410) 821-9490

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

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on top of arm bone and shoulder joint 01630
Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
11 services11 patients
Anesthesia for open or endoscopic total shoulder joint replacement 01638
Anesthesia for total shoulder joint replacement, either open or endoscopic, involves using medications to block pain during surgery. It can be general (you're asleep) or regional (only the area being operated on is numbed). This ensures comfort and stillness, facilitating a successful procedure.
11 services11 patients

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 Ellsberry's NPI number?

The NPI number for Susan Ellsberry is 1710984356. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Susan Ellsberry located?

Susan Ellsberry practices at 2610 E Baltimore St, Baltimore, MD 21224. The listed phone number is (410) 821-7644.

What is Susan Ellsberry's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Susan Ellsberry enrolled in Medicare?

Yes. Susan Ellsberry is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Susan Ellsberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ellsberry reassigns Medicare benefits to 2 organizations: Medstar Medical Group Anesthesiology LLC (Baltimore, MD) and Katzen Medical Associates, PC (Lutherville, MD). 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 Susan Ellsberry'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 Susan Ellsberry was last updated on June 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.