Individual provider Active NPI

Ellen M Hambel, CRNA

  • Certified Registered Nurse Anesthetist
  • Appleton, WI
National Provider Identifier
1326346826
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R 146035-1 Issued in MN
Practice address
1506 S Oneida St
Appleton, WI 54915-1396
Phone
(920) 738-2611
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 R 146035-1 MN Primary

Addresses

Primary practice location

1506 S Oneida St
Appleton, WI 54915-1396

Mailing address

W2447 Western Dr
Freedom, WI 54913-6949
Phone (507) 272-0864

Other identifiers 5

IdentifierTypeStateIssuer
ENROLLEDMedicaidWI
ENROLLEDMedicaidMN
ENROLLEDMedicaidSD
P00940117OtherMNRAILROAD MEDICARE
ENROLLEDMedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140722001781 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628253739 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisconsin Spine and Pain SCGroup PAC ID 0345665469, 19 clinicians
Osms Anesthesia LLCGroup PAC ID 3779020896, 23 clinicians
Racine Anesthesia Services LLCGroup PAC ID 8628103777, 81 clinicians
Bellin Anesthesia Associates SCGroup PAC ID 1254357684, 34 clinicians

Practice addresses (Care Compare)

2124 Kohler Memorial Dr
Suite 110
Sheboygan, WI 53081-3174
Phone (414) 455-1153

2223 Lime Kiln Rd
Suite 1
Green Bay, WI 54311-6213
Phone (920) 965-9517

500 S Oakwood Rd
Oshkosh, WI 54904-7944
Phone (920) 223-2000

744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 146035-1MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Racine Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2024 Accepting new patients
Bellin Anesthesia Associates, S.C. CurrentSince Oct 1, 2023 Accepting new patients
Green Bay Anesthesia Assoc. SC CurrentSince Feb 15, 2022 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Sep 1, 2023 Accepting new patients
Association of Hospital Anesthesiologists SC CurrentSince Mar 1, 2022 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Sep 1, 2023 Accepting new patients
Osms Anesthesia LLC CurrentSince Aug 3, 2024 Accepting new patients
Laboratory Corportation of America Holdings Past Accepting new patients

Locations (25 of 28)

Dept CH 17057
Palatine, IL 60055

1616 N Casaloma Dr
#100
Appleton, WI 54913

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1616 N Casaloma Dr
#200
Appleton, WI 54913
Phone (314) 550-0188

225 S Executive Dr
Brookfield, WI 53005
Phone (262) 787-4026

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

2595 Development Dr
Ste 150
Green Bay, WI 54311
Phone (888) 901-7246

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2223 Lime Kiln Rd
Ste 1
Green Bay, WI 54311
Phone (920) 468-0246

1550 Midway Pl
Menasha, WI 54952
Phone (920) 727-8030

1249 W Liebau Rd
Ste 200
Mequon, WI 53092
Phone (833) 821-7246

Bin 88263
Milwaukee, WI 53288

Bin 88848
Milwaukee, WI 53288

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

1205 West American Dr
Neenah, WI 54956
Phone (920) 727-8144

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

2124 Kohler Memorial Dr
Ste 100
Sheboygan, WI 53081
Phone (920) 452-7246

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

2607 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 446-9981

N14W23800 Stone Ridge Dr
Ste 120
Waukesha, WI 53188

Interoperability endpoints

  • Direct secure messaging: ehambel998910@direct.emplifyhealth.org

Organizations & group practices 8

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1326346826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2447 WESTERN DR",
            "city": "FREEDOM",
            "state": "WI",
            "postal_code": "549136949",
            "telephone_number": "507-272-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S ONEIDA ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151396",
            "telephone_number": "920-738-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBEL",
        "first_name": "ELLEN",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R 146035-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00940117",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.