Christopher Dominick Ellis, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP023586 Issued in PA

Practice address

667 N River St #201
Plains, PA 18705-1870

Phone

(570) 823-1111

NPI assigned

May 6, 2021

Last updated

May 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 PA

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeastern Pennsylvania Cardiology Associates LLPGroup PAC ID 1052384658, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137

Merit-based Incentive Payment System (MIPS)

Final score

85 of 100Reported as group

Quality

69.99

Improvement activities

40

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.

• Northeastern Pennsylvania Cardiology Associates LLP

  • Cardiovascular Disease Physician
  • Plains, PA
  • NPI 1043351281
  Medicare reassignment Care Compare group NPD
• Advanced Inpatient Medicine Transitional Care - Ltcaco LLC

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1427944859
  Medicare reassignment NPD
• Advanced Inpatient Medicine Transitional Care PC

  • Internal Medicine Physician
  • Wilkes Barre, PA
  • NPI 1609247030
  Medicare reassignment NPD

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

• Wilkes Barre Hospital Company LLC

  dba Wilkes Barre General Hospital

  • Clinic/Center
  • Wilkes Barre, PA
  • NPI 1053554378

  Hospital

  Care Compare affiliation
• Wilkes Barre Hospital Company LLC

  dba Wilkes Barre General Hospital

  • General Acute Care Hospital
  • Wilkes Barre, PA
  • NPI 1255585303
  Care Compare affiliation

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1366026361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 LANTERN HILL RD",
            "city": "SHAVERTOWN",
            "state": "PA",
            "postal_code": "187089590",
            "telephone_number": "570-606-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 N RIVER ST #201",
            "city": "PLAINS",
            "state": "PA",
            "postal_code": "187051870",
            "telephone_number": "570-823-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "DOMINICK",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP023586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Doran, PTA
• Porscha Dort, DPM
• Susan Marie Dwyer, PT
• Eckerd Corporation (Rite Aid Pharmacy)
• Renee Elizabeth Edwards, DMD
• John H Ellis, M.D.
• Lyndsay Ellis
• Christopher Empett, DPT
• Engle Eyewear Optical LLC
• Robert L Fiorelli, DO

• Family Nurse Practitioner in Plains, PA
• Providers in Plains, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.