Ella Obrosky, PA-C
Individual provider Active NPI Certified Registered Nurse Anesthetist · Rutland, VT
NPI 1972038305 · NPPES record last updated Apr 24, 2017
Key facts
- NPI
- 1972038305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 101. (VT)
- Practice address
- 160 Allen St
Rutland, VT 05701-4560 - Phone
- (802) 747-3639
- Fax
- (802) 747-6207
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Clinical Colleagues Inc
Gulfstream Anesthesia Consultants PA
Grande Ronde Hospital Inc
Practice addresses (Care Compare)
133 Fairfield St
Saint Albans, VT 05478-1726
Phone (802) 524-2911
275 Guthrie Dr
Troy, PA 16947-8115
Phone (877) 204-4155
900 Sunset Dr
La Grande, OR 97850-1387
Phone (541) 963-8421
Hospital & facility affiliations
- Northwestern Medical Center Inc
- Troy Community Hospital
- Grande Ronde Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in VT, NY, OR, TX, PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180328001144 | VT | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961764139 | Reassigns benefits to 1 organization |
| I20210616002659 | NY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961764139 | Reassigns benefits to 3 organizations |
| I20230110003076 | OR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961764139 | Reassigns benefits to 3 organizations |
| I20240318000438 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961764139 | Reassigns benefits to 1 organization |
| I20250731002650 | PA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2961764139 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101. | VT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Bay Area Hospital District | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Carthage Area Hospital Inc | Current |
Accepting new patients | |
| Carthage Area Hospital Inc | Current |
Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current |
Accepting new patients | |
| Bay Area Hospital District | Current |
Accepting new patients | |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Gulfstream Anesthesia Consultants PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Canton-Potsdam Hospital | Current |
Accepting new patients | |
| Carthage Area Hospital, Inc. | Current | Accepting new patients |
Locations
Dept LA 25339
Pasadena, CA 91185
516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326
39 W Main St
Canton, NY 13617
Phone (315) 379-4700
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
2650 N 17th St
Coos Bay, OR 97420
Phone (541) 267-5411
1775 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-8090
701 E 16th St
Berwick, PA 18603
Phone (570) 754-5000
275 Guthrie Dr
Troy, PA 16947
Phone (570) 297-2121
11 Gallagher Dr
Wilkes Barre, PA 18705
Phone (570) 970-0259
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 101. | VT | Yes |
Addresses
Primary practice location
160 Allen St
Rutland, VT 05701-4560
Mailing address
7700 W Sunrise Blvd
Plantation, FL 33322-4113
Phone (954) 939-7179
Other providers in Rutland, VT
- Nancy Ann Nystul
- Tricia Ann O'Connor
- Lauren Oberg
- Michele Obrien
- Paul Francis Obrien
- Obstetrics,Gynecology,Infertility P.C.
- Occupational Health Partners, PLLC
- Ian Odigie
- Leanna A Olennikov
- Earl A Olson
All providers in Rutland, VT · Certified Registered Nurse Anesthetist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.