Individual provider Active NPI

Leighann Ellison, CRNA

  • Certified Registered Nurse Anesthetist
  • Paducah, KY
National Provider Identifier
1235471855
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3007905 Issued in KY
Practice address
225 Medical Center Dr
Suite 405
Paducah, KY 42003-7914
Phone
(270) 441-4750
Fax
(270) 441-4770
NPI assigned
Mar 21, 2013
Last updated
Jan 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3007905 KY Primary

Addresses

Primary practice location

225 Medical Center Dr
Suite 405
Paducah, KY 42003-7914

Mailing address

225 Medical Center Dr
Suite 405
Paducah, KY 42003-7914
Phone (270) 441-4750

Other identifiers 1

IdentifierTypeStateIssuer
7100255750MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130809000153 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618117334 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
West Kentucky Anesthesia LLCGroup PAC ID 7315304243, 5 clinicians

Practice addresses (Care Compare)

2419 New Holt Rd
Paducah, KY 42001-7455
Phone (270) 845-4300

67 Lakeview Dr
Paducah, KY 42001-5619
Phone 27055483734428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Jan 9, 2024 Accepting new patients
Apex Anesthesia Partners, PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 20, 2021 Accepting new patients
Pain Management Centers of America, PSC CurrentSince Jan 6, 2024 Accepting new patients
Marion Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1235471855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 405",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR",
            "address_2": "SUITE 405",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "LEIGHANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-21",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3007905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100255750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.