Charlotte Gaye Ellis, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2022140613 Issued in TX

Practice address

712 S May St
Madisonville, TX 77864-2564

Phone

(936) 348-3418

NPI assigned

Mar 23, 2023

Last updated

Jan 2, 2025By the provider in NPPES

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 TX, AK, OK3 enrollments

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 3

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stigler Health and Wellness Center IncGroup PAC ID 8022061373, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cellis776101@direct.ochin.org
• Direct secure messaging: charlotte.ellis.p1@direct.crossroadmc.nextgenshare.com

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.

• Stigler Health and Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Stigler, OK
  • NPI 1891752853
  Medicare reassignment Care Compare group NPD
• Slater-Delk Medical, PLLC

  dba Vital Urgent Care & Family Practice

  • Urgent Care Clinic/Center
  • Midland, TX
  • NPI 1386056943
  Medicare reassignment NPD
• Cross Road Health Ministries, Inc.

  dba Cross Road Medical Center

  • Federally Qualified Health Center (FQHC)
  • Glennallen, AK
  • NPI 1609871391
  Medicare reassignment NPD
• Icare Center LLC

  • Urgent Care Clinic/Center
  • Harrah, OK
  • NPI 1881190833
  Medicare reassignment NPD
• Cross Road Health Ministries, Inc.

  dba Tok Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Tok, AK
  • NPI 1659956449
  NPD
• MCH Professional Care

  dba MCH ProCare

  • Multi-Specialty Clinic/Center
  • Odessa, TX
  • NPI 1649391269
  NPD (past)
• Icare Primary & Wellness Clinic LLC

  • Primary Care Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1922671551
  NPD (past)

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1316640832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 OLD HOUSTON RD",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773406508",
            "telephone_number": "832-316-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 S MAY ST",
            "city": "MADISONVILLE",
            "state": "TX",
            "postal_code": "778642564",
            "telephone_number": "936-348-3418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Prospect Dr",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "TX",
            "postal_code": "758626202",
            "country_code": "US",
            "telephone_number": "936-744-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Hobart",
            "state": "OK",
            "postal_code": "736511837",
            "country_code": "US",
            "telephone_number": "405-632-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHARLOTTE",
        "middle_name": "GAYE",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2022140613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonspirit Texas
• Commonspirit Texas
• Tena Measles Crook, LMT
• John Edward Deal, RPH
• Darren Glenn Dye
• Mallison Fisher, MS,CCC-SLP
• Franklin Healthcare of Madisonville, LLC (Riverwood Healthcare & Rehab)
• Joe W Franklin, M.D.
• Theresa Fusaro, LPC
• Kelle Dawn Harper, NP

• Family Nurse Practitioner in Madisonville, TX
• Providers in Madisonville, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.