NPI age
3 years
Enumerated 2022-06-16
● Active
Type 1 · Individual
Samuel Hayward Ellison, CRNA
Ellison is 1 of 44 nurse anesthetist, certified registered providers in Coeur D Alene and 1 of 575 in Idaho.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
KS
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 575 active nurse anesthetist, certified registered providers in Idaho.
NPI age
3 years
↓ 12 yr below median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Mailing address
1028 Compton Ct
Moscow, ID 838438531
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3901 Rainbow Blvd
Kansas City, KS 661608500
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...
Practice context
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse anesthetist, certified registered provider has been added in Coeur D Alene in the last 180 days.
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