CODY ELLIS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1083294250
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,016 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OH
Provider Addresses for CODY ELLIS (CRNA)
111 S Grant Ave Fl 3
Columbus, OH 432154701
Phone: (614) 566-9871
Type: Location
3181 SW Sam Jackson Park Rd
Portland, OR 972393011
Phone: (503) 494-7641
Fax: (503) 494-4661
Type: Location
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-8487
Fax: (614) 293-8153
Type: Mailing
410 W 10TH AVE FL 1
COLUMBUS, OH 432101240
Phone: (614) 293-8487
Fax: (614) 293-8183
Type: Location
PO BOX 7527
DUBLIN, OH 430170727
Phone: (419) 520-2495
Type: Mailing
111 S GRANT AVE FL 3
COLUMBUS, OH 432154701
Phone: (614) 566-9871
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Boston Scientific Corporation ($114).
Total Amount
$114
General + Research + Ownership
Payments
4
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $114 |
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: 2025-04-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211028001758 | I | Certified Registered Nurse Anesthetist (Crna) | OH | TBD |
| I20230802004395 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
| I20250113002508 | I | Certified Registered Nurse Anesthetist (Crna) | TN | TBD |
| I20250428002745 | I | Certified Registered Nurse Anesthetist (Crna) | NC | TBD |
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.
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 43215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| A N E S T H E S I O L O G Y | TN | |
| A N E S T H E S I O L O G Y | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| - | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Anesthesiology, Interventional Pain Management, Pain Management | TN |
Reviews
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