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

Travis O Ellis

Individual provider Certified Registered Nurse Anesthetist · NPI 1598388043

Travis O Ellis is a Certified Registered Nurse Anesthetist (CRNA) in Charleston, West Virginia. Qualified in 2020, 6 years ago. Practices with Logan Regional Anesthesia Services, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
6
Licensed in
WV
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone: (304) 388-5503
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 64717 (WV)

Record details

NPI number1598388043
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2020
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Logan Regional Anesthesia Services, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Charleston