Camille Y Ellard, LSCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2378 Issued in KS

Practice address

105 W 13TH St
Hays, KS 67601-3613

Phone

(785) 621-4990

NPI assigned

Mar 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Care Clinic IncGroup PAC ID 8820149834, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: camille.ellard.p1@direct.firstcareclinic.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
  • NPI 1568634327
  Medicare reassignment Care Compare group NPD
• First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
  • NPI 1205572203
  NPD
• First Care Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hays, KS
  • NPI 1245958487
  NPD

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1154748960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 13TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013613",
            "telephone_number": "785-621-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 13TH ST",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676013613",
            "telephone_number": "785-621-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLARD",
        "first_name": "CAMILLE",
        "middle_name": "Y",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "2378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eaglemed LLC
• Ashley Renee Edwards, MSN, RN-BC
• Sarah Andrea Eiden
• Marshall Edward Eidenberg, D.O.
• Stacey Einsteder Lee Einsteder
• Danielle Elliott
• Carol Marie Ellis, PHD, CCC-SLP
• Courtney Ellis, LMSW
• Mary Faith Engbrecht
• Alexander Anthony Ata Ershadi

• Clinical Social Worker in Hays, KS
• Providers in Hays, KS by specialty
• Clinical Social Worker in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.