Active NPI
Claire E Ellis, NP
- Nurse Practitioner
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71005890A
- Practice address
- 4101 Technology Ave
New Albany, IN 47150-8548 - Phone
- (812) 590-3334
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3009301 | KY | |
| Family Nurse Practitioner | 363LF0000X | 71005890A | IN | |
| Nurse Practitioner | 363L00000X | 71005890A | IN | Primary |
Addresses
Primary practice location
4101 Technology Ave
New Albany, IN 47150-8548
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (812) 949-5482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100374130 | Medicaid | KY | |
| 201361760 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0810
3900 Kresge Way
Suite 56
Louisville, KY 40207-4683
Phone (502) 895-7265
800 Highlander Point Dr
Floyds Knobs, IN 47119-9465
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Community Medical Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Baptist Medical Associates Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Nurse Practitioner | Past | Accepting new patients |
Locations
7725 Highway 62
Ste 100
Charlestown, IN 47111
Phone (812) 280-0413
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
3900 Kresge Way
Ste 56
Louisville, KY 40207
Phone (502) 895-7265
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
IN, Nurse Practitioner
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
IN, Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
Nurse Practitioner
-
dba Baptist Neuroscience Associates
- Neurology Physician
- Louisville, KY
- NPI 1386872471
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1740677558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "812-949-5482",
"fax_number": "812-949-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 TECHNOLOGY AVE",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471508548",
"telephone_number": "812-590-3334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "CLAIRE",
"middle_name": "E",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3009301",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005890A",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005890A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100374130",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201361760",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.