Michelle Lynn Ellis

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F11250688 Issued in NC

Practice address

915 Tate Blvd SE Ste 182
Hickory, NC 28602-4042

Phone

(828) 569-2880

Fax

(828) 569-1565

NPI assigned

Dec 10, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Carolina Anesthesia Associates PLLCGroup PAC ID 5092720813, 691 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DLP Frye Regional Medical Center LLC

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1801823349
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1093679524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE STE 182",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-569-2880",
            "fax_number": "828-569-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 TATE BLVD SE STE 182",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024042",
            "telephone_number": "828-569-2880",
            "fax_number": "828-569-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "F11250688",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "F11250688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne H Eller, LMBT
• Tracy A. Ellingson, CRNA
• Kimberly Elliott, RN, BSN
• Lee Clayton Elliott, MD
• Justin D. Ellis, P.A.
• Kimberlee Marie Ellison, APRN
• Michelle Hanrahan Ellwanger, LPC
• Michael W Elmore, PHARMD
• William E Elmore, LPA
• Pamela Sue Elske-Leonetti, PT

• Nurse Practitioner in Hickory, NC
• Providers in Hickory, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.