Individual provider Active NPI

Stephanie Ellis

  • Family Nurse Practitioner
  • Hyannis, MA
National Provider Identifier
1174932776
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN232320 Issued in MA
Practice address
46 North St
Hyannis, MA 02601-3845
Phone
(508) 771-0006
NPI assigned
Aug 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN232320 MA Primary

Addresses

Primary practice location

46 North St
Hyannis, MA 02601-3845

Mailing address

46 North St
Hyannis, MA 02601-3845

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140908001135 MA Practitioner - Nurse Practitioner 4880813773 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians of Cape Cod HospitalGroup PAC ID 9638326671, 330 clinicians

Practice addresses (Care Compare)

35 Wilkens LN
Cuda Women'S Health Center
Hyannis, MA 02601-2082
Phone (508) 957-1700

Hospital & facility affiliations

  • Cape Cod Hospital Hospital, Hyannis, MA, CCN 220012
  • Falmouth Hospital Hospital, Falmouth, MA, CCN 220135

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
71.45
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN232320MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Mar 15, 2020 Accepting new patients
Urgi Center Medical Group CurrentSince Apr 1, 2018 Accepting new patients

Locations

90 Ter Heun Dr
Ste 2300C
Falmouth, MA 02540

525 Long Pond Dr
Harwich, MA 02645
Phone (508) 430-3311

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

46 North St
Hyannis, MA 02601
Phone (508) 771-0006

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

1220 Iyannough Rd
Hyannis, MA 02601
Phone (508) 862-7900

105 Park St
Hyannis, MA 02601
Phone (508) 771-9599

35 Wilkens Ln
Hyannis, MA 02601
Phone (508) 862-5000

46 North St
Ste 7
Hyannis, MA 02601
Phone (508) 775-2295

273 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 495-8000

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1174932776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 NORTH ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013845",
            "telephone_number": "508-771-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN232320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

Verify at the official NPI Registry.