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

Miles Ellsworth, SRNA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841703402

Miles Ellsworth, SRNA is a Certified Registered Nurse Anesthetist (CRNA) in Marshfield, Wisconsin. Qualified in 2018, 8 years ago. Practices with Mchs Hospitals Inc, a 1,194-clinician group and accepts Medicare assignment. Licensed in Florida and Michigan.

Years since qualifying
8
Licensed in
FL, MI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone: (715) 387-5511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine Registered Nurse (primary) Taxonomy 163WC0200X · Licence 4704295031 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RN9418207 (FL)

Record details

NPI number1841703402
Entity typeIndividual (Type 1)
GenderMale
Credentials SRNA
Sole proprietorNo
NPI enumeratedNovember 6, 2017
Last updated in NPPESNovember 6, 2017
Mailing address16227 Ravina Way, Naples, FL 34110-3269

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice McHs Hospitals Inc — 1194 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Marshfield