Ashly P. Ellis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704260266 Issued in MI

Practice address

510 Ashmun St Ste 5
Sault Sainte Marie, MI 49783-1972

Phone

(906) 632-6013

NPI assigned

Oct 25, 2011

Last updated

Apr 29, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Mills Indian Community

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1053592089
  Medicare reassignment NPD
• DLP Marquette Physician Practices Inc

  dba Marquette General Family Medicine - Marquette

  • Obesity Medicine (Internal Medicine) Physician
  • Marquette, MI
  • NPI 1487902995
  Medicare reassignment NPD
• Bay Mills Indian Community

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1073711057
  NPD
• Bay Mills Indian Community

  dba Brimley Area Schools

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1669235974
  NPD
• DLP Marquette Physician Practices Inc

  dba UP Health System Pediatric Specialists

  • Rural Health Clinic/Center
  • Marquette, MI
  • NPI 1205635760
  NPD

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1285910984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ASHMUN ST. SUITE# 5",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839385",
            "telephone_number": "906-362-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ASHMUN ST STE 5",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497831972",
            "telephone_number": "906-632-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ASHLY",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704260266",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704260266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Edwards, MD
• Pamela Marie Edwards
• Eero J. Ranta, M.D., P.C.
• Elizabeth Eidenier
• Anglea Marie Ellis, LMSW
• Lindsay Ellis
• Mary Ellis
• Nicole Marie Ellison
• Eric J. Siesel, O.D.P.C.
• Connor L Ernst

• Family Nurse Practitioner in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.