Robert L Ellison is a Moscow, Idaho based nurse anesthetist with 36 years of experience as Nurse Anesthetist. He completed he graduation in 1989. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Robert L Ellison is RNA-209 for Anesthesia Administration in Idaho. his current practice location is 2300 W A St, Moscow. Patients can reach him at 208-883-1500 or can fax him at 208-882-7701. Robert L Ellison is CRNA with specialization in Nurse Anesthetist and he NPI number (Unique professional ID assigned by NPPES) is 1265425714. Robert L Ellison is a certified 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.
Complete Profile:
Robert L Ellison speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Nurse Anesthetist
Credentials:
CRNA
Experience:
36+ years
Medical School Attended:
Other
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2300 W A St, Moscow, Idaho, 83843-4038
Phone:
208-883-1500
Fax:
208-882-7701
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5294712733
Enrollment ID:
I20040814000049
NPI Number:
1265425714
NPI Enumeration Date:
30 Aug, 2005
NPI Last Update On:
13 Jul, 2010
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Robert L Ellison are as mentioned below.
License Number
Specialization
State
Status
RNA-209
Anesthesia Administration
Idaho
Primary
N13917
Anesthesiology
Idaho
Secondary
AP30004667
Anesthesia Administration
Washington
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Robert L Ellison has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Moscow Mountain Anesthesia Pllc (4082981881)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Robert L Ellison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9628264
Medicaid
Washington
A3565
Other
Idaho
BC ID
N13917
Other
Idaho
IDAHO LICENSE
P00137189
Other
RAILROAD MEDICARE
805788500
Medicaid
Idaho
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 1829, Coeur D Alene, Idaho
Zip:
83816-1829
Phone Number:
208-667-9334
Fax Number:
208-664-2341
Patients can reach Robert L Ellison at 2300 W A St, Moscow, Idaho or can call to book an appointment on 208-883-1500.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.