Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kyle M.e. Ellison, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1417122078

Kyle M.e. Ellison, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Rochester, Minnesota. Qualified in 2008, 18 years ago. Practices with Prairie Ridge Hospital and Health Services, a 86-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R144605-8 (MN)

Record details

NPI number1417122078
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 24, 2008
Last updated in NPPESMarch 25, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Prairie Ridge Hospital And Health Services — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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