Individual provider Active NPI

Tranetta Lenise Ellis, CRNA

  • Certified Registered Nurse Anesthetist
  • Clearwater, FL
National Provider Identifier
1689814642
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ANT9255261 Issued in FL
Practice address
300 Jeffords St
Suite B
Clearwater, FL 33756-3810
Phone
(727) 441-1524
Fax
(727) 443-4206
NPI assigned
Mar 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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 RN136721 GA
Certified Registered Nurse Anesthetist 367500000X ANT9255261 FL Primary

Addresses

Primary practice location

300 Jeffords St
Suite B
Clearwater, FL 33756-3810

Mailing address

300 Jeffords St
Suite B
Clearwater, FL 33756-3810
Phone (727) 441-1524

Other practice location 1

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694
Phone (678) 312-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130304000398 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406904481 Reassigns benefits to 2 organizations
I20180103000778 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406904481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

2930 N Stanton St
El Paso, TX 79902-2511
Phone (915) 271-4569

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ANT9255261FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Jul 15, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 19, 2022 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 19, 2022 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Sep 15, 2022 Accepting new patients
Sleep Ezzy CurrentSince Aug 6, 2021 Accepting new patients
Georgia Interventional Pain - H, LLC PastSince Apr 6, 2021 Accepting new patients
Georgia Interventional Pain - D LLC PastSince Aug 6, 2021 Accepting new patients
Anesthesia Associates of Pinellas County Past Accepting new patients
Clearwater Pain Management Associates Past Accepting new patients

Locations

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

484 Irvin Ct
Ste 130
Decatur, GA 30030

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

455 Philip Blvd
Ste 138
Lawrenceville, GA 30046

892 Legacy Park Dr
Lawrenceville, GA 30043

1357 Hembree Rd
Ste 230
Roswell, GA 30076
Phone (770) 740-9664

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

2930 N Stanton St
El Paso, TX 79902
Phone (915) 271-4569

1755 Curie Dr
Ste A
El Paso, TX 79902
Phone (915) 534-1329

1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 9

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 1

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": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1689814642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 JEFFORDS ST",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563810",
            "telephone_number": "727-441-1524",
            "fax_number": "727-443-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JEFFORDS ST",
            "address_2": "SUITE B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563810",
            "telephone_number": "727-441-1524",
            "fax_number": "727-443-4206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467694",
            "country_code": "US",
            "telephone_number": "678-312-1000",
            "fax_number": "678-312-3282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "TRANETTA",
        "middle_name": "LENISE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN136721",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ANT9255261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.