Stanley Brent Ellis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 56698 Issued in FL

Practice address

1519 W Keene Rd
Apopka, FL 32703-8416

Phone

(407) 880-0439

NPI assigned

Nov 29, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health System Sunbelt, Inc.Group PAC ID 6406849256, 212 clinicians

Urgent Care Centers of Brevard County LLCGroup PAC ID 6002238714, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
• Adventhealth Tampa Hospital, Tampa, FL, CCN 100173

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: sellis73120@adventhealth.direct-ci.com

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.

• Adventist Health System Sunbelt, Inc.

  dba AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1073565610

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care

  • Urgent Care Clinic/Center
  • Maitland, FL
  • NPI 1295367290

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Adventist Health System Sunbelt Inc

  dba AdventHealth Primary Care Plus

  • Family Medicine Physician
  • Winter Garden, FL
  • NPI 1427296730
  Medicare reassignment NPD
• Adventist Health System/ Sunbelt, Inc.

  dba AdventHealth Centra Care - Southern Trace

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1396605440

  Family Medicine

  NPD
• Adventist Health System/Sunbelt, Inc

  dba AdventHealth Total Health Management DBA AdventHealth Primary Care Plus Oviedo

  • Family Medicine Physician
  • Oviedo, FL
  • NPI 1053271114
  NPD
• Adventist Health System/Sunbelt, Inc.

  dba AdventHealth Total Health Management Corporate

  • Family Medicine Physician
  • Maitland, FL
  • NPI 1356589808
  NPD
• Adventist Health System/Sunbelt, Inc.

  dba AdventHealth Centra Care - Sanford

  • Urgent Care Clinic/Center
  • Sanford, FL
  • NPI 1437346442

  Family Medicine

  NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care Titusville

  • Urgent Care Clinic/Center
  • Titusville, FL
  • NPI 1750913091

  Family Medicine

  NPD
• Urgent Care Centers of Brevard County LLC

  dba Health First AdventHealth Centra Care Melbourne

  • Urgent Care Clinic/Center
  • Melbourne, FL
  • NPI 1801594858

  Family Medicine

  NPD

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

• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  Care Compare affiliation
• Adventist Health System-Sunbelt, Inc

  dba AdventHealth Orlando Outreach Laboratory

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1801569728

  Hospital

  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1053321919
  Care Compare affiliation
• University Community Hospital, Inc

  dba AdventHealth Tampa Outreach Laboratory

  • Clinical Medical Laboratory
  • Tampa, FL
  • NPI 1134766694

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1609943174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 W KEENE RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327038416",
            "telephone_number": "407-880-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 W KEENE RD",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327038416",
            "telephone_number": "407-880-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STANLEY",
        "middle_name": "BRENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 56698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Michel Elias, DO
• Elizabeth K. Macdonald, O.D. P.a.
• Elle-Marie's Homecare
• Cavel Sylvia Elliott, NURSE PRACTITIONER
• Mallory Ann Ellis, RBT
• Emc for You, LLC
• Emery Medical Solutions Inc
• Emery Sleep Solutions
• Emily Dykstra Ma, CCC-SLP Inc.
• Eric William Emmons, D.C.

• Family Medicine Physician in Apopka, FL
• Providers in Apopka, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.