Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Forrest Ellison

Individual provider Certified Registered Nurse Anesthetist · NPI 1992446215

Matthew Forrest Ellison is a Certified Registered Nurse Anesthetist (CRNA) in South Charleston, West Virginia. Qualified in 2022, 4 years ago. Practices with Northstar Anesthesia of West Virginia PLLC, a 124-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2022
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Practice location Address checks out

100 Angus E Peyton Dr
South Charleston, WV 25303-1600
Phone: (304) 746-2500
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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 113031 (WV)

Record details

NPI number1992446215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2022
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northstar Anesthesia Of West Virginia Pllc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Charleston