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

Samuel Hayward Ellison, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1811627250

Samuel Hayward Ellison, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Coeur D Alene, Idaho. Qualified in 2022, 4 years ago. Practices with Anesthesia Associates of Coeur D Alene PLLC, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
4
Licensed in
KS
In the registry since
2022
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

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (509) 432-4529
Fax: (208) 765-8486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3901 Rainbow Blvd, Kansas City, KS 66160-8500 — (913) 588-6670

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 43-557976-071 (KS)

Record details

NPI number1811627250
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedJune 16, 2022
Last updated in NPPESJune 16, 2022
Certification dateJune 16, 2022

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 Anesthesia Associates Of Coeur D Alene Pllc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene