Mitchel Ellis, CRNA is a
Nurse Anesthetist, Certified Registered based in Perrysburg, Ohio. Mitchel Ellis is licensed to practice in Ohio (license number APRN.CRNA.0021298) and his current practice location is
12516 Roachton Rd, Perrysburg, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 709-6450.
NPI number for Mitchel Ellis is 1306528153 and his current mailing address is 12516 Roachton Rd, Perrysburg, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306528153.
Provider's Profile
| Full Name | Mitchel Ellis |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 12516 Roachton Rd, Perrysburg, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1306528153
- Provider Enumeration Date: 08/02/2023
- Last Update Date: 06/17/2025
Medical Identifiers
Medical identifiers for Mitchel Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306528153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.0021298 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mitchel Ellis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mitchel Ellis, CRNA
12516 Roachton Rd,
Perrysburg, OH 43551-2061
Ph: (419) 709-6450 | Mitchel Ellis, CRNA
12516 Roachton Rd,
Perrysburg, OH 43551-2061
Ph: (419) 709-6450 |
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