Individual provider Active NPI

Judith Ellers, CRNA

  • Certified Registered Nurse Anesthetist
  • Wilmington, DE
National Provider Identifier
1992731277
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
L60A00191 Issued in DE
Practice address
2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553
Phone
(302) 995-1860
Fax
(302) 995-5421
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X L60A00191 DE Primary

Addresses

Primary practice location

2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553

Mailing address

2006 Limestone Rd
Suite 5
Wilmington, DE 19808-5553
Phone (302) 995-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000213 DE Practitioner - Certified Registered Nurse Anesthetist (Crna) 9739377920 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NCB Anesthesia Associates, LLCGroup PAC ID 1557726130, 17 clinicians

Practice addresses (Care Compare)

1000 Twin C LN
Suite 200
Newark, DE 19713-2142
Phone (302) 683-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Center for Digestive Care LLC CurrentSince Nov 18, 2021 Accepting new patients
NCB Anesthesia Associates, LLC CurrentSince Mar 24, 2024 Accepting new patients
Rockland Surgery Center, L.P. CurrentSince Aug 20, 2023 Accepting new patients

Locations

4745 Ogletown Stanton Rd
Ste 134
Newark, DE 19713
Phone (302) 452-3000

4923 Stanton Ogletown Rd
Newark, DE 19713
Phone (302) 993-0310

537 Stanton Christiana Rd
Newark, DE 19713
Phone (302) 225-2380

1000 Twin C Ln
Ste 200
Newark, DE 19713
Phone (302) 683-0700

2600 Glasgow Ave
Ste 226
Newark, DE 19702
Phone (302) 836-3539

4923 Ogletown Stanton Rd
Ste 100
Newark, DE 19713
Phone (302) 225-2380

2710 Centerville Rd
Ste 100
Wilmington, DE 19808
Phone (302) 655-3388

Organizations & group practices 3

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1992731277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD",
            "address_2": "SUITE 5",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085553",
            "telephone_number": "302-995-1860",
            "fax_number": "302-995-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERS",
        "first_name": "JUDITH",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DE",
            "license": "L60A00191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.