Nancy Lynne Ellis, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

13698 Issued in TN

Practice address

1400 Dowell Springs Blvd Ste 200
Knoxville, TN 37909-2457

Phone

(865) 584-0291

Fax

(865) 584-4426

NPI assigned

Apr 4, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

University of Mississippi School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kamilia F KozlowskiGroup PAC ID 2860429099, 11 clinicians

The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

65 of 100Reported as group

Quality

30

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Kamilia F Kozlowski

  • Multi-Specialty Clinic/Center
  • Knoxville, TN
  • NPI 1790708030

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• The West Clinic P.C.

  • Specialist
  • Germantown, TN
  • NPI 1447276605
  Medicare reassignment Care Compare group NPD
• Radcare of Tennessee PC

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1538186226
  NPD (past)
• The West Clinic P.C.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1508644774
  NPD (past)
• Rad-One, PA

  • Diagnostic Radiology Physician
  • Southaven, MS
  • NPI 1487705760
  NPD (past)
• Tulsa X-Ray Laboratory PLLC

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1144211582
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1366564809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 SNOWDEN FARM RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380178988",
            "telephone_number": "901-860-0687",
            "fax_number": "901-850-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 DOWELL SPRINGS BLVD STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379092457",
            "telephone_number": "865-584-0291",
            "fax_number": "865-584-4426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Snowden Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380178988",
            "country_code": "US",
            "telephone_number": "901-860-0687",
            "fax_number": "901-850-8489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "NANCY",
        "middle_name": "LYNNE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "09608",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "13698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012597",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q052520",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Ray Ellis, CRNA
• David Lee Ellis, PT
• Emily Ruth Ellis
• Katherine Eleanor Ellis, PHD
• Le'John Mishon Ellis, M.ED.
• Aurielle Ellison
• Christina Noel Ellison
• Kimberly Denise Ellison
• Lauren Diane Ellsworth
• Elmer G. Pinzon

• Diagnostic Radiology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.