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

Ryan Ellis, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1861878522

Ryan Ellis, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Mohave, Arizona. Qualified in 2015, 11 years ago. Practices with Northeastern Anesthesia PLLC, a 83-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone: (928) 788-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 6220295-3102 (UT)

Record details

NPI number1861878522
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedAugust 5, 2015
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address2351 E Amber Ave, Fort Mohave, AZ 86426-7304

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Northeastern Anesthesia Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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