Christine Ellis, APRN-FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

024716 Issued in OH

Practice address

68353 Bannock Rd
Saint Clairsville, OH 43950-9736

Phone

(740) 695-9344

Fax

(740) 695-7780

NPI assigned

Sep 2, 2019

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 OH, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Boulder Care Provider Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1649838590

  NC, OH

  Medicare reassignment Care Compare group NPD
• Amjad Rass, Inc

  • General Practice Physician
  • Cambridge, OH
  • NPI 1063430932
  Medicare reassignment NPD
• Mvhe Inc

  • Family Medicine Physician
  • Moraine, OH
  • NPI 1659504785
  Medicare reassignment NPD
• Amjad Rass Inc

  • Rural Health Clinic/Center
  • Cambridge, OH
  • NPI 1033414081
  NPD
• Mvhe Inc

  • Internal Medicine Physician
  • Middletown, OH
  • NPI 1497154827
  NPD

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1740838895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68353 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509736",
            "telephone_number": "740-695-9344",
            "fax_number": "740-695-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68353 BANNOCK RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509736",
            "telephone_number": "740-695-9344",
            "fax_number": "740-695-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CHRISTINE",
        "credential": "APRN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-02",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "024716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwards Absolute Kinetics
• David James Edwards, DPT
• Caitlin E Egri
• Zachary Elerick, PHARMD
• Danika Elkins
• Kelsea Ellis
• Madison Emery
• Enduracare Therapy Management, Inc
• Aubrey Marie Erbach
• Patricia Estadt

• Family Nurse Practitioner in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.