Ellen Ianelli, APN BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

22867 Issued in SC

Practice address

7075 Swansong Cir
Myrtle Beach, SC 29579-4363

Phone

(856) 912-7239

Fax

(856) 912-7239

NPI assigned

Mar 27, 2007

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

Other identifiers 1

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

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  MI

  Medicare reassignment NPD
• Visiting Physician Associates of South Jersey LLC

  • Gerontology Nurse Practitioner
  • Hammonton(Elm), NJ
  • NPI 1306993951
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1417076175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7075 SWANSONG CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794363",
            "telephone_number": "856-912-7239",
            "fax_number": "856-912-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 SWANSONG CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295794363",
            "telephone_number": "856-912-7239",
            "fax_number": "856-912-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANELLI",
        "first_name": "ELLEN",
        "credential": "APN BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "22867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130371",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Henry Hussey III, M.D.
• Kimberly Renee Hutchens
• Tammy L Hutcheson, LPC, NCC, ACT
• Deanna Lutz Hyde, PHARMD
• Jacob Allen Hyrne, PA-C
• Iasis Center
• Janet Ibrahim
• Sameh Ibrahim
• Icare Nursing Services
• Icuthere LLC

• Adult Health Nurse Practitioner in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Adult Health Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.