Individual provider Active NPI

Kayla Ellis

  • Family Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1427428333
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015207 Issued in PA
Practice address
555 W Newton St
Greensburg, PA 15601-2861
Phone
(724) 832-7045
Fax
(724) 832-9165
NPI assigned
Oct 5, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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 SP015207 PA Primary

Addresses

Primary practice location

555 W Newton St
Greensburg, PA 15601-2861

Mailing address

555 W Newton St
Greensburg, PA 15601-2861
Phone (724) 832-7045

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
I20160418001440 PA Practitioner - Nurse Practitioner 4183922602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

532 W Pittsburgh St
Greensburg, PA 15601-2239

8775 Norwin Ave
North Huntingdon, PA 15642-2718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Excela Health Physician Practices, Inc. CurrentSince May 9, 2016 Accepting new patients
Excela Health Physician Practices, Inc Current Accepting new patients
Excela Health Physician Practices, Inc CurrentSince May 9, 2016 Accepting new patients
Excela Health Physician Practices, Inc. Past Accepting new patients

Locations

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

532 W Pittsburgh St
Ste 500D
Greensburg, PA 15601

870 Weatherwood Ln
Ste 1
Greensburg, PA 15601
Phone (724) 850-3150

520 Jefferson Ave
Ste 400
Jeannette, PA 15644

100 Excela Health Dr
Ste 301
Latrobe, PA 15650
Phone (724) 537-1480

508 S Church St
Ste 102
Mt Pleasant, PA 15666
Phone (724) 850-3150

109 Crossroads Rd
Ste 202
Scottdale, PA 15683
Phone (724) 850-3150

Interoperability endpoints

  • Direct secure messaging: kaylaellis@emg.allscriptsdirect.net

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1427428333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W NEWTON ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012861",
            "telephone_number": "724-832-7045",
            "fax_number": "724-832-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W NEWTON ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012861",
            "telephone_number": "724-832-7045",
            "fax_number": "724-832-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KAYLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.