Individual provider Active NPI

Casey Ellis, NP-C

  • Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1447613377
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP130690 Issued in TX
Practice address
8325 Broadway St Ste 220
Pearland, TX 77581-5773
Phone
(281) 783-8162
Fax
(713) 439-7995
NPI assigned
Mar 29, 2016
Last updated
Apr 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP130690 TX Primary
Family Nurse Practitioner 363LF0000X AP130690 TX

Addresses

Primary practice location

8325 Broadway St Ste 220
Pearland, TX 77581-5773

Mailing address

16107 Kensington Dr Ste 126
Sugar Land, TX 77479-4224
Phone (281) 783-8162

Other practice location 1

6720 Bertner Ave
Houston, TX 77030-2604
Phone (832) 355-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161105000130 TX Practitioner - Nurse Practitioner 1850679200 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level MV LLC CurrentSince Sep 1, 2019 Accepting new patients
Nluc PLLC CurrentSince Sep 1, 2019 Accepting new patients
Next Level MV LLC CurrentSince Sep 1, 2019 Accepting new patients
Nluc PLLC CurrentSince Sep 1, 2019 Accepting new patients
Nluc PLLC Current Accepting new patients
Urgent Health Solutions PLLC- Greater Houston Series CurrentSince Jun 13, 2017 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care Past Accepting new patients
Providence Physician Associates PastSince Nov 22, 2020 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5749 San Felipe St
Houston, TX 77057
Phone (281) 362-7557

9668 Westheimer Rd
Ste 600
Houston, TX 77063
Phone (713) 597-7770

2560 E League City Pkwy
League City, TX 77573
Phone (832) 982-7228

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 8

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1447613377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16107 KENSINGTON DR STE 126",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794224",
            "telephone_number": "281-783-8162",
            "fax_number": "713-439-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 BROADWAY ST STE 220",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815773",
            "telephone_number": "281-783-8162",
            "fax_number": "713-439-7995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Bertner Ave",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302604",
            "country_code": "US",
            "telephone_number": "832-355-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CASEY",
        "name_prefix": "Miss",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP130690",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.