Active NPI
David Ellis, CRNA
- Anesthesiologist Assistant
- Chelan, WA
National Provider Identifier
1619944709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AP30005489
- Practice address
- 503 E Highland Ave
Chelan, WA 98816-8631 - Phone
- (509) 682-8517
- Fax
- (509) 682-6131
- NPI assigned
- Mar 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AP30005489 | WA | Primary |
Addresses
Primary practice location
503 E Highland Ave
Chelan, WA 98816-8631
Mailing address
503 E. Highland Ave
Chelan, WA 98816
Phone (509) 682-8517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9631276 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619944709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 E. HIGHLAND AVE",
"city": "CHELAN",
"state": "WA",
"postal_code": "98816",
"telephone_number": "509-682-8517",
"fax_number": "509-682-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 E HIGHLAND AVE",
"city": "CHELAN",
"state": "WA",
"postal_code": "988168631",
"telephone_number": "509-682-8517",
"fax_number": "509-682-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "WA",
"license": "AP30005489",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9631276",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chelan, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.