Individual provider Active NPI

Ellen E Halley, CRNA

  • Certified Registered Nurse Anesthetist
  • Kailua Kona, HI
National Provider Identifier
1609965680
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN-3985 Issued in HI
Practice address
75-5905 Walua Rd Ste 4
Kailua Kona, HI 96740-5315
Phone
(808) 331-7960
Fax
(808) 331-0152
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP30006232 WA
Certified Registered Nurse Anesthetist 367500000X APRN-3985 HI Primary

Addresses

Primary practice location

75-5905 Walua Rd Ste 4
Kailua Kona, HI 96740-5315

Mailing address

122 N Raymond Rd
Suite 20
Spokane Valley, WA 99206-6832
Phone (509) 926-1770

Other practice location 1

1414 N Houk Rd
Suite 204
Spokane Valley, WA 99216-1097
Phone (509) 922-0362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040211001174 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911891767 Reassigns benefits to 1 organization
I20230530000852 HI Practitioner - Certified Registered Nurse Anesthetist (Crna) 7911891767 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ali'I Health Center CurrentSince Oct 24, 2024 Accepting new patients
Medstream Anesthesia Hawaii, LLC Nurse Anesthetist, Certified Registered CurrentSince May 3, 2023 Accepting new patients
Alii Health Center Current Accepting new patients
Creative Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 12, 2004 Accepting new patients
Columbia Basin Anesthesia PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Providence Health & Service- Washington Past Accepting new patients

Locations

75-5905 Walua Rd
Ste 4
Kailua Kona, HI 96740
Phone (808) 331-7960

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

1414 N Houk Rd
Spokane Valley, WA 99216
Phone (509) 922-0362

1414 N Houk Rd
Ste 102
Spokane Valley, WA 99216
Phone (509) 624-2226

1414 N Houk Rd
Ste 204
Spokane Valley, WA 99216
Phone (509) 922-0362

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1609965680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N RAYMOND RD",
            "address_2": "SUITE 20",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992066832",
            "telephone_number": "509-926-1770",
            "fax_number": "509-228-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5905 WALUA RD STE 4",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967405315",
            "telephone_number": "808-331-7960",
            "fax_number": "808-331-0152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 N Houk Rd",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992161097",
            "country_code": "US",
            "telephone_number": "509-922-0362",
            "fax_number": "509-228-9542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLEY",
        "first_name": "ELLEN",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP30006232",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "HI",
            "license": "APRN-3985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.