KATIE ELLIOTT – Certified Registered Nurse Anesthetist, NPI 1346769510

KATIE ELLIOTT is a healthcare provider. based in Boise, Idaho. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 202214341CRNA (OR). The NPI Number for KATIE ELLIOTT is 1346769510

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KATIE ELLIOTT
NPI
1346769510
Phone
(208) 336-0895
Address
338 E Bannock St
Enumeration Date
19 September 2017
Last Update Date
13 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5419943661
Graduation Year
2017 (9 years ago)
PAC ID
1153682463
Group Practice PAC ID
7911816301
Professional Enrollment ID
I20221004002606
Address ID
OR973674518LI3043XSTXX400

Contacts

Secure Messaging
kelliott242976@samhealth.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Other namesUpdated within 12 months

402 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in ID

Provider Addresses for KATIE ELLIOTT

  • 338 E Bannock St

    Boise, ID 837126207

    Phone: (208) 336-0895

    Type: Location

  • 338, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States

    BOISE, ID 837126207

    Phone: (208) 336-0895

    Type: Mailing

  • PO BOX 1194

    CORVALLIS, OR 973391194

    Phone:

    Type: Mailing

  • 3043 NE 28TH ST

    LINCOLN CITY, OR 973674518

    Phone: (541) 994-3661

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-10-28 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($43).

Total Amount

$81

General + Research + Ownership

Payments

5

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221004002606ICertified Registered Nurse Anesthetist (Crna)ORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911816301View full group profile

Reviews

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Frequently asked questions

What NPI should I save for KATIE ELLIOTT?
Save NPI 1346769510 if you need a stable reference for KATIE ELLIOTT.
Is KATIE ELLIOTT currently active in the NPI registry?
CMS-published data lists KATIE ELLIOTT as an active registrant.
What field does KATIE ELLIOTT work in?
You can think of KATIE ELLIOTT as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is KATIE ELLIOTT's primary listing?
We display Boise, Idaho because that is what the record indicates for KATIE ELLIOTT.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.