Katherine Diane Ellis, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

654072 Issued in TX

Practice address

1902 Hospital Blvd
Gainesville, TX 76240-2007

Phone

(940) 612-8750

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

Yes

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gainesville Community Hospital IncGroup PAC ID 6002150729, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Texas Medical Center Hospital, Gainesville, TX, CCN 450090

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.ellis@hca7.eclinicaldirectplus.com
• Direct secure messaging: katherine.ellis.1@26154.direct.athenahealth.com
• Direct secure messaging: kaellis@yourcarecommunity.org

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.

• Gainesville Community Hospital, Inc.

  • Rural Health Clinic/Center
  • Gainesville, TX
  • NPI 1033687900
  Medicare reassignment Care Compare group NPD
• Gainesville Community Hospital, Inc.

  • General Practice Physician
  • Gainesville, TX
  • NPI 1942778816
  NPD

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

• Gainesville Community Hospital, Inc.

  • General Acute Care Hospital
  • Gainesville, TX
  • NPI 1972071991
  Care Compare affiliation

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1720295652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402002",
            "telephone_number": "940-665-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 HOSPITAL BLVD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402007",
            "telephone_number": "940-612-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "KATHERINE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "654072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Amy Sue Ott PHD Family Counseling Service PLLC
• Dr. Ernest R. Martin & Dr. Edwina E. Martin D.D.S.
• Faith Porter Dulaney, RPH
• Dulce Vita Dental & Wellness
• Clara Janeth Elias, RN
• Emily Schmitz NP PLLC
• Erin Erbskorn, NP
• David Lee Eurich, DDS
• Family Chiropractic & Wellness Center of Gainesville
• Family Dental Care of Gainesville, PLLC

• Advanced Practice Midwife in Gainesville, TX
• Providers in Gainesville, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.