NPI age
20 years
Enumerated 2005-08-30
● Active
Type 1 · Individual
Robert L Ellison, CRNA
Ellison is 1 of 12 nurse anesthetist, certified registered providers in Moscow and 1 of 575 in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 2 subspecialties
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2010-07-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2005 → 2026
2005-08Enumerated in NPPES
2005
2026
Where they practice
Practice location
2300 W A St
Moscow, ID 838434038
Mailing address
Po Box 1829
Coeur D Alene, ID 838161829
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
-
AnesthesiologyAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 9628264 | |
| 01 (ID) | A3565 | BC ID |
| 01 (ID) | N13917 | IDAHO LICENSE |
| 01 | P00137189 | RAILROAD MEDICARE |
| 05 (ID) | 805788500 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse anesthetist, certified registered provider has been added in Moscow in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.