Individual provider Active NPI

Ellie Ann Hillard, CRNP

  • Family Nurse Practitioner
  • Mechanicsburg, PA
National Provider Identifier
1396397253
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020481 Issued in PA
Practice address
21 Waterford Dr
Mechanicsburg, PA 17050-8268
Phone
(717) 591-3630
Fax
(717) 591-3631
NPI assigned
Jul 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP020481 PA Primary

Addresses

Primary practice location

21 Waterford Dr
Mechanicsburg, PA 17050-8268

Mailing address

21 Waterford Dr
Mechanicsburg, PA 17050-8268
Phone (717) 591-3630

Other practice location 1

100 N Cameron St Ste 201E
Harrisburg, PA 17101-2412
Phone (717) 233-7190

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL https://epass.inovalon.com Health Information Exchange (HIE)
Direct Messaging Address ehillard72427@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190925001020 PA Practitioner - Nurse Practitioner 8820328446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
PSHR Physical Therapy, LLCGroup PAC ID 8628396546, 36 clinicians

Practice addresses (Care Compare)

21 Waterford Dr
Family Care at Silver Spring
Mechanicsburg, PA 17050-8266
Phone (717) 591-3630

308 Hockersville Rd
Hershey, PA 17033-2080
Phone (717) 298-1411

Hospital & facility affiliations

  • Residential Home Health of Carlisle, LLC Home health agency, Mechanicsburg, PA, CCN 397047
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP020481PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alder Health Services, Inc. Family CurrentSince Oct 1, 2019 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 30, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 30, 2021 Accepting new patients
Alder Health Services PastSince Jul 24, 2022 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

100 N Cameron St
Ste 201E
Harrisburg, PA 17101
Phone (717) 233-7190

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

100 N Cameron St
Ste 301E
Harrisburg, PA 17101
Phone (717) 233-7190

21 Waterford Dr
Silver Spg Tp, PA 17050
Phone (717) 591-3630

Interoperability endpoints

  • Direct secure messaging: ehillard290632@upmc.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/11230/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1396397253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WATERFORD DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170508268",
            "telephone_number": "717-591-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WATERFORD DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170508268",
            "telephone_number": "717-591-3630",
            "fax_number": "717-591-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Cameron St Ste 201E",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171012412",
            "country_code": "US",
            "telephone_number": "717-233-7190",
            "fax_number": "717-901-5086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLARD",
        "first_name": "ELLIE",
        "middle_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://epass.inovalon.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "SOAP Notes",
            "address_1": "100 N Cameron St Ste 201E",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171012412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehillard72427@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "21 Waterford Dr",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170508268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.