Active NPI
Ellen Mildred Convery, CRNA
- Certified Registered Nurse Anesthetist
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00277600
- Practice address
- 102 Centre Blvd Ste E
Marlton, NJ 08053-4129 - Phone
- (956) 988-6260
- Fax
- (856) 988-6270
- NPI assigned
- Aug 21, 2009
- Last updated
- Feb 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00277600 | NJ | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | C-APN.0105684-C-CRNA | CO |
Addresses
Primary practice location
102 Centre Blvd Ste E
Marlton, NJ 08053-4129
Mailing address
102 Centre Blvd Ste E
Marlton, NJ 08053-4129
Phone (956) 988-6260
Other practice location 1
400 W 16th St
Pueblo, CO 81003-2745
Phone (719) 584-4045
Other practice location 2
200 S Orange Ave
Livingston, NJ 07039-5817
Phone (973) 577-4056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, OH, TX, SC, NC, CO
Enrollment records 6
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
Practice addresses (Care Compare)
400 W 16TH St
Pueblo, CO 81003-2745
Phone (719) 584-4921
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.93 of 100
- Quality
- 34.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7372 | NC | MD | General Practice Dentistry |
| C-APN.0105684-C-CRNA | CO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Current | Accepting new patients | |
| Trident Anesthesia Group, LLC | Current | Accepting new patients | |
| North American Partners in Anesthesia of New Jersey LLC | Current | Accepting new patients | |
| West Jersey Anesthesia Associate PA | Current | Accepting new patients | |
| Dayton Anesthesia & Pain Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| Atlantic Coast Anesthesia Services P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capstone Behavioral Health L.L.C. | Past | Accepting new patients |
Locations
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
200 S Orange Ave
Livingston, NJ 07039
Phone (973) 322-7007
300 2nd Ave
Long Branch, NJ 07740
Phone (732) 222-5200
102 Centre Blvd
Ste E
Marlton, NJ 08053
Phone (856) 462-6400
703 Main St
Paterson, NJ 07503
Phone (973) 754-2240
1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808
200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-3000
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
405 W Grand Ave
Dayton, OH 45405
Phone (937) 226-3200
423 Barony St
Moncks Corner, SC 29461
2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200
1021 Cipriana Dr
Ste 100
Myrtle Beach, SC 29572
Phone (843) 449-7885
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
9313 Medical Plaza Dr
Ste 102
North Charleston, SC 29406
Phone (843) 572-1228
9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366
295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366
265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114
265 Brookview Centre Way
Ste 400
Knoxville, TN 37919
Phone (865) 293-5549
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Myrtle Beach, SC
- NPI 1932641313
Nurse Anesthetist, Certified Registered
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1225356868
-
- Anesthesiology Physician
- Charleston, SC
- NPI 1376595520
-
- Anesthesiology Physician
- Marlton, NJ
- NPI 1609861947
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1629401898
Nurse Anesthetist, Certified Registered
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Anesthesiology Physician
- Brick, NJ
- NPI 1548433048
-
dba UCHealth Medical Group
- General Practice Physician
- Loveland, CO
- NPI 1366763260
-
- Community/Behavioral Health Agency
- Marlton, NJ
- NPI 1003379231
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Grand Strand Medical Center
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1184263527
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1376183145
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1417596834
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1427689652
-
dba Parkview Medical Center
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1134751712
-
dba Parkview Pueblo West
- General Acute Care Hospital
- Pueblo West, CO
- NPI 1821720681
-
dba HCA Healthcare Trident Hospital
- General Acute Care Hospital
- Charleston, SC
- NPI 1366496937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1922230069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CENTRE BLVD STE E",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534129",
"telephone_number": "956-988-6260",
"fax_number": "856-988-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CENTRE BLVD STE E",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534129",
"telephone_number": "956-988-6260",
"fax_number": "856-988-6270"
}
],
"practiceLocations": [
{
"address_1": "400 W 16th St",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810032745",
"country_code": "US",
"telephone_number": "719-584-4045",
"fax_number": "719-542-0809",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 S Orange Ave",
"address_purpose": "LOCATION",
"city": "Livingston",
"state": "NJ",
"postal_code": "070395817",
"country_code": "US",
"telephone_number": "973-577-4056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONVERY",
"first_name": "ELLEN",
"middle_name": "MILDRED",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-21",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00277600",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "C-APN.0105684-C-CRNA",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.