SAMUEL HAYWARD ELLISON CRNA
NPI 1811627250
Nurse Anesthetist, Certified Registered in Coeur D Alene, ID
About Samuel Hayward Ellison Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL HAYWARD ELLISON CRNA (NPI 1811627250) is an individual nurse anesthetist, certified registered in Coeur D Alene, Idaho, licensed in Kansas (43-557976-071) and active in the NPI registry since June 2022. He is affiliated with Kootenai Health, maintains a secondary practice location in Kansas City, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
(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.
Secondary Practice Location 1
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
Samuel Hayward Ellison 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 3
Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83814 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.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811627250, enumerated as an "individual" on June 16, 2022.
The provider is located at 2003 KOOTENAI HEALTH WAY COEUR D ALENE, ID 83814 and the phone number is (509) 432-4529.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Samuel Ellison is affiliated with: KOOTENAI HEALTH.
