Individual provider Active NPI

Lindsey Paige Ellis, FNP-C, MPH

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1568887552
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1020866 Issued in DC
Practice address
1 Boston PL Ste 2600
Boston, MA 02108-4420
Phone
(617) 958-5697
NPI assigned
Feb 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 RN1020866 DC Primary

Addresses

Primary practice location

1 Boston PL Ste 2600
Boston, MA 02108-4420

Mailing address

1 Boston PL Ste 2600
Boston, MA 02108-4420
Phone (617) 958-5697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20140709001536 DC Practitioner - Nurse Practitioner 2668697558 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hospital Center Corp CurrentSince Nov 21, 2014 Accepting new patients
Washington Hospital Center Corp Current Accepting new patients
Marsha Medical Group of Ca, P.C. Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

Interoperability endpoints

  • Direct secure messaging: lindsey.ellis.1@22378.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1568887552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOSTON PL STE 2600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084420",
            "telephone_number": "617-958-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOSTON PL STE 2600",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021084420",
            "telephone_number": "617-958-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "LINDSEY",
        "middle_name": "PAIGE",
        "name_prefix": "Ms.",
        "credential": "FNP-C, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-27",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1020866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.