Gladys Jane Ellis, FNP-BC/ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP3209162 Issued in FL

Practice address

2215 Nebraska Ave Ste 3-a
Fort Pierce, FL 34950-4867

Phone

(772) 489-6011

Fax

(772) 489-6086

NPI assigned

Mar 5, 2008

Last updated

Jan 19, 2010By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wayne County Hospital IncGroup PAC ID 7113814740, 15 clinicians

Apogee Medical Group Kentucky PSCGroup PAC ID 8820164411, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132
• Wayne County Hospital Hospital, Monticello, KY, CCN 181321

Merit-based Incentive Payment System (MIPS)

Final score

90.62 of 100Reported as group

Quality

79.69

Improvement activities

40

Cost

72.9

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apogee Medical Group Kentucky PSC

  • General Practice Physician
  • Corbin, KY
  • NPI 1356503114

  Family

  Medicare reassignment Care Compare group NPD
• Wayne County Hospital, Inc

  • Critical Access Hospital
  • Monticello, KY
  • NPI 1871548016

  Family

  Medicare reassignment Care Compare group NPD
• Wayne County Hospital, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Monticello, KY
  • NPI 1992744536
  NPD

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

• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Regional Hospital

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247
  Care Compare affiliation
• Wayne County Hospital, Inc

  • Critical Access Hospital
  • Monticello, KY
  • NPI 1871548016
  Care Compare affiliation

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1679743744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE STE 3-A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504867",
            "telephone_number": "772-489-6011",
            "fax_number": "772-489-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 NEBRASKA AVE STE 3-A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504867",
            "telephone_number": "772-489-6011",
            "fax_number": "772-489-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "GLADYS",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC/ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3209162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Eldridge
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• Lisa E Eliassaint, RN
• Elite Concierge Private Care, LLC
• Juliana Christine Elliott, APRN, FNP-C
• Elwc Services LLC (Elwc Services)
• Embrace Chiropractic LLC
• Embrace Wellness Center LLC
• Embracing Healthcare LLC
• Embracing Love Home Care

• Family Nurse Practitioner in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.