CHARLES EZELLE CRNA
NPI 1932576550
Nurse Anesthetist, Certified Registered in Oxford, MS
About Charles Ezelle Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES EZELLE CRNA (NPI 1932576550) is an individual nurse anesthetist, certified registered in Oxford, Mississippi, licensed in Mississippi (R880502) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Medical Center- Grenada, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Charles Ezelle 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.
Medicare Billing Reassignments
3Medicare enrollment records show Charles Ezelle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oxford, MS 38655
- Reassigned Medicare billing, Mississippi enrollment
- 122 clinicians in this Medicare group
Jackson, MS 39208
- Reassigned Medicare billing, Mississippi enrollment
- 154 clinicians in this Medicare group
Jackson, MS 39201
- Reassigned Medicare billing, Mississippi enrollment
- 187 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Mississippi Medical Center- Grenada
Acute Care Hospitals · Grenada, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OXFORD, MS 38655
OXFORD, MS 38655
OXFORD, MS 38655
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 Charles Ezelle's NPI number?
The NPI number for Charles Ezelle is 1932576550. It was assigned to this individual provider in the NPPES registry on August 31, 2015.
Where is Charles Ezelle located?
Charles Ezelle practices at 2704 W Oxford Loop Suite 117, Oxford, MS 38655. The listed phone number is (662) 550-4299.
What is Charles Ezelle's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Charles Ezelle enrolled in Medicare?
Yes. Charles Ezelle 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 Charles Ezelle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Ezelle reassigns Medicare benefits to 3 organizations: Willow Anesthesia Services LLC (Oxford, MS), Anesthesia Consultants PA (Jackson, MS) and Perioperative Services Of Mississippi, LLC (Jackson, MS). 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 Charles Ezelle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Charles Ezelle affiliated with any hospitals?
According to CMS data, Charles Ezelle is affiliated with University Of Mississippi Medical Center- Grenada.
When was this NPI record last updated?
The NPPES record for Charles Ezelle was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Charles Ezelle, CRNA · NPI 1932576550
Nurse Anesthetist, Certified Registered physician in Oxford, Mississippi. Individual provider, active in the CMS NPPES registry since August 31, 2015.
## Identity
- **NPI:** 1932576550 (Entity type: Individual)
- **Enumerated:** August 31, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R880502 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 2704 W OXFORD LOOP, SUITE 117, Oxford, MS 38655-5714
- **Phone:** (662) 550-4299 · **Fax:** (662) 580-4324
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Willow Anesthesia Services LLC (NPI 1205169521, Oxford, MS); Anesthesia Consultants PA (NPI 1750300836, Jackson, MS); Perioperative Services Of Mississippi, LLC (NPI 1881123123, Jackson, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** August 31, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1932576550) · Data from the CMS NPPES public registry.