PAMELA JEAN ELLIS (APRN,CRNA) – Certified Registered Nurse Anesthetist, NPI 1376840637

PAMELA JEAN ELLIS (APRN,CRNA) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials APRN,CRNA. They hold a License No. 136088-8 (MN). The NPI Number for PAMELA JEAN ELLIS (APRN,CRNA) is 1376840637

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA JEAN ELLIS (APRN,CRNA)
NPI
1376840637
Phone
(612) 725-2000
Address
1 VETERANS DR
Enumeration Date
23 February 2011
Last Update Date
15 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3208643121
Graduation Year
2010 (16 years ago)
PAC ID
6709045016
Group Practice PAC ID
1759292980
Professional Enrollment ID
I20200601001397
Address ID
MN553361416GL1805XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

Provider Addresses for PAMELA JEAN ELLIS (APRN,CRNA)

  • 1 VETERANS DR

    MINNEAPOLIS, MN 554172309

    Phone: (612) 725-2000

    Type: Mailing

  • 701 Park Ave

    Minneapolis, MN 554151623

    Phone: (612) 873-3000

    Type: Location

  • 1805 HENNEPIN AVE N

    GLENCOE, MN 553361416

    Phone: (320) 864-7812

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-06-01

PECOS data refreshed: 2026-05-27

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
I20200601001397ICertified Registered Nurse Anesthetist (Crna)MNTBD

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 55417)

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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: 1759292980View full group profile
NameSpecialtyState
Orthopedic SurgeryOK
Physician AssistantMN
Emergency MedicineMN
Family PracticeMN
Family PracticeMN
Nurse PractitionerMN
Orthopedic SurgeryMN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

Where can patients find PAMELA JEAN ELLIS (APRN,CRNA)'s NPI?
You can confirm PAMELA JEAN ELLIS (APRN,CRNA) with NPI 1376840637; it appears in the national provider directory.
Is PAMELA JEAN ELLIS (APRN,CRNA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does PAMELA JEAN ELLIS (APRN,CRNA) treat or focus on?
Patients typically see PAMELA JEAN ELLIS (APRN,CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is PAMELA JEAN ELLIS (APRN,CRNA)'s primary listing?
We display Minneapolis, Minnesota because that is what the record indicates for PAMELA JEAN ELLIS (APRN,CRNA).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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