Ann Wilson Ellis, C.N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3003153 Issued in KY

Practice address

8251 Pine Rd
Ste 220
Cincinnati, OH 45236-2191

Phone

(513) 936-9191

Fax

(513) 936-0222

NPI assigned

Jul 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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.

• Comprehensive Cardiology Consultants

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1801126818
  NPD (past)
• Comprehensive Cardiology Consultants

  • Acute Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1982937603
  NPD (past)
• Comprehensive Cardiology Consultants, Inc

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1184756355
  NPD (past)
• Comprehensive Cardiology Consultants, Inc

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1881727568
  NPD (past)
• Comprehensive Cardiology Consultants, Inc

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1992837249
  NPD (past)
• Comprehensive Cardiology Consultants, Inc.

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1205968567
  NPD (past)
• Comprehensive Cardiology Consultants, Inc.

  • Cardiovascular Disease Physician
  • Cincinnati, OH
  • NPI 1902803919
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1225035223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8251 PINE RD",
            "address_2": "STE 220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362191",
            "telephone_number": "513-936-9191",
            "fax_number": "513-936-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8251 PINE RD",
            "address_2": "STE 220",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362191",
            "telephone_number": "513-936-9191",
            "fax_number": "513-936-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ANN",
        "middle_name": "WILSON",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3003153",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "NP-5172",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3153",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "05172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0369012",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383344",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0562612",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78011780",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "611300608060",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Lee Elliott, PHD
• Shareese Lashay Elliott
• Teresa Rene Elliott, RN
• Yelena Elliott, CRNA
• Akela Ellis
• Asia Ellis
• Djuana S Ellis
• Emma Anne Ellis
• Ericka Ellis, RN
• Glinda Cherise Ellis

• Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.