ELLEN MILDRED CONVERY CRNA
NPI 1922230069
Nurse Anesthetist, Certified Registered in Marlton, NJ

Active since August 21, 2009PECOS EnrolledAccepts Medicare Assignment
102 CENTRE BLVD STE E, MARLTON, NJ 08053(956) 988-6260(856) 988-6270 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ellen Mildred Convery Crna NPPES

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

ELLEN MILDRED CONVERY CRNA (NPI 1922230069) is an individual nurse anesthetist, certified registered in Marlton, New Jersey, licensed in New Jersey (26NJ00277600) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922230069
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameELLEN MILDRED CONVERYCredential: CRNA
Location Address102 CENTRE BLVD STE EMarlton, NJ 08053-4129
Mailing Address102 Centre Blvd Ste EMarlton, NJ 08053-4129 · (956) 988-6260 · Fax (856) 988-6270
Fax(856) 988-6270
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 21, 2009
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1922230069 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
Licenses✔ Licensed in NJ · 26NJ00277600✔ Licensed in CO · C-APN.0105684-C-CRNA
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.
102 CENTRE BLVD STE E, Marlton, NJ 08053

Secondary Practice Locations 2

Location 1200 S Orange AveLivingston, NJ 07039-5817 · Phone (973) 577-4056
Location 2400 W 16th StPueblo, CO 81003-2745 · Phone (719) 584-4045 · Fax (719) 542-0809

Accepted Insurance

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

Ellen Mildred Convery 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.

PECOS PAC ID5698800282
PECOS Enrollment IDI20240202002444, I20260302001011
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Ellen Convery reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
8800 N TRYON ST
Charlotte, NC 28262
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,212 clinicians in this Medicare group
Anesthesiology
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Atlantic Coast Anesthesia Services PC
  • 258 clinicians in this Medicare group
Anesthesiology
405 W GRAND AVE
Dayton, OH 45405
  • Reassigned Medicare billing, Ohio enrollment
  • 419 clinicians in this Medicare group
Anesthesiology
9263 MEDICAL PLAZA DR., STE E
Charleston, SC 29406
  • Reassigned Medicare billing, South Carolina enrollment
  • 154 clinicians in this Medicare group
Specialist
1900 PINE ST
Abilene, TX 79601
  • Reassigned Medicare billing, Texas enrollment
  • 204 clinicians in this Medicare group
General Practice
2695 ROCKY MOUNTAIN AVE, SUITE 150
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 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.

Areas of Expertise CMS Part B claims 3

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 esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
12 services12 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 7

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

Community/Behavioral Health
102 CENTRE BLVD STE E
MARLTON, NJ 08053
Nurse Anesthetist, Certified Registered
102 CENTRE BLVD STE E
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
102 CENTRE BLVD STE E
MARLTON, NJ 08053
Nurse Anesthetist, Certified Registered
102 CENTRE BLVD STE E
MARLTON, NJ 08053
Nurse Anesthetist, Certified Registered
102 CENTRE BLVD STE E
MARLTON, NJ 08053
Nurse Anesthetist, Certified Registered
102 CENTRE BLVD STE E
MARLTON, NJ 08053
Nurse Anesthetist, Certified Registered
102 CENTRE BLVD STE E
MARLTON, NJ 08053

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 Convery's NPI number?

The NPI number for Ellen Convery is 1922230069. It was assigned to this individual provider in the NPPES registry on August 21, 2009.

Where is Ellen Convery located?

Ellen Convery practices at 102 Centre Blvd Ste E, Marlton, NJ 08053. The listed phone number is (956) 988-6260.

What is Ellen Convery's specialty?

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

Is Ellen Convery enrolled in Medicare?

Yes. Ellen Convery 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 Ellen Convery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Convery reassigns Medicare benefits to 6 organizations: Chs Anesthesia Services Group Inc (Charlotte, NC), Atlantic Coast Anesthesia Services P.C. (Myrtle Beach, SC), Dayton Anesthesia & Pain Services, LLC (Dayton, OH), Trident Anesthesia Group, LLC (Charleston, SC), Hendrick Anesthesia Network (Abilene, TX) and 1 more organization, 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 Ellen Convery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellen Convery accept?

Health plans from Cigna Healthcare, Oscar Health Plan of North Carolina, Inc and Select Health list Ellen Convery 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 Ellen Convery affiliated with any hospitals?

According to CMS data, Ellen Convery is affiliated with Trident Medical Center and Grand Strand Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Ellen Convery was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.