ELLEN M MARTIN CRNA
NPI 1720184583
Nurse Anesthetist, Certified Registered in Wyomissing, PA

Active since September 16, 2006
2603 KAISER BLVD, WYOMISSING, PA 19610(610) 988-5089(610) 988-5135 Get Directions Write a Review

NPPES record last updated: April 2, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ellen M Martin Crna NPPES

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

ELLEN M MARTIN CRNA (NPI 1720184583) is an individual nurse anesthetist, certified registered in Wyomissing, Pennsylvania, licensed in Pennsylvania (RN219942L) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1720184583
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameELLEN M MARTINCredential: CRNA
Location Address2603 KAISER BLVDWyomissing, PA 19610-3341
Mailing Address2603 Kaiser BlvdWyomissing, PA 19610-3341 · (610) 988-5089 · Fax (610) 988-5135
Fax(610) 988-5135
Sole ProprietorNo
Enumeration DateSeptember 16, 2006
Last NPPES UpdateApril 2, 2014
✔ NPI 1720184583 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 PA · RN219942L
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.
2603 KAISER BLVD, Wyomissing, PA 19610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ellen M Martin Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ellen Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambulatory Surgical
2603 KEISER BLVD
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 15 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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2603 KAISER BLVD
WYOMISSING, PA 19610
Nurse Anesthetist, Certified Registered
2603 KAISER BLVD
WYOMISSING, PA 19610
Nurse Anesthetist, Certified Registered
2603 KAISER BLVD
WYOMISSING, PA 19610
Nurse Anesthetist, Certified Registered
2603 KAISER BLVD
WYOMISSING, PA 19610
Nurse Anesthetist, Certified Registered
2603 KAISER BLVD
WYOMISSING, PA 19610

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 Ellen Martin's NPI number?

The NPI number for Ellen Martin is 1720184583. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Ellen Martin located?

Ellen Martin practices at 2603 Kaiser Blvd, Wyomissing, PA 19610. The listed phone number is (610) 988-5089.

What is Ellen Martin's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ellen Martin enrolled in Medicare?

Yes. Ellen Martin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ellen Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Martin reassigns Medicare benefits to The Reading Hospital Surgicenter At Spring Ridge LLC (Wyomissing, 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 Ellen Martin'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 Ellen Martin was last updated on April 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.