Ryan Ellis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Mohave, Arizona. He graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Valley Regional Anesthesia Associates Inc, Northeastern Anesthesia Pllc and his current practice location is
5330 S Highway 95, Fort Mohave, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 788-2273.
Ryan Ellis is licensed to practice in Utah (license number 6220295-3102) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861878522.
Provider's Profile
| Full Name | Ryan Ellis |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 10 Years |
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| Location | 5330 S Highway 95, Fort Mohave, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ryan Ellis graduated from nursing school in 2015
NPI Data:
- NPI Number: 1861878522
- Provider Enumeration Date: 08/05/2015
- Last Update Date: 09/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 7719287036
- Enrollment ID: I20240809001458
Medical Identifiers
Medical identifiers for Ryan Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861878522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 6220295-3102 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Northeastern Anesthesia Pllc | 4284813940 | 33 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ryan Ellis allows following entities to bill medicare on his behalf.
| Entity Name | Northeastern Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487956504
PECOS PAC ID: 4284813940
Enrollment ID: O20110126001051 |
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| Entity Name | Valley Regional Anesthesia Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578272415
PECOS PAC ID: 3870964323
Enrollment ID: O20240521001150 |
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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. Ryan Ellis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ryan Ellis, CRNA
2351 E Amber Ave,
Fort Mohave, AZ 86426-7304
Ph: (801) 520-1543 | Ryan Ellis, CRNA
5330 S Highway 95,
Fort Mohave, AZ 86426-9225
Ph: (928) 788-2273 |
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