Ellie Bullis, ARNP
Individual provider Active NPI Nurse Practitioner · Morrison, IL
NPI 1760136220 · NPPES record last updated Jan 23, 2025
Key facts
- NPI
- 1760136220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209029380 (IL)
- Practice address
- 303 N Jackson St
Morrison, IL 61270-3042 - Phone
- (815) 772-4003
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CGH Medical Center
Morrison Community Hospital District
Practice addresses (Care Compare)
1809 Locust St
Sterling, IL 61081-1101
Phone (815) 622-1210
303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003
Hospital & facility affiliations
- CGH Medical Center
- Morrison Community Hospital
- Osf Saint Katharine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260108000435 | IL | Practitioner - Nurse Practitioner | 0547657504 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209029380 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrison Community Hospital District | Current |
Accepting new patients | |
| Morrison Community Hospital District | Current |
Accepting new patients | |
| Morrison Community Hospital District | Nurse Practitioner | Current |
Accepting new patients |
| Morrison Community Hospital District | Past | Accepting new patients | |
| Oncology-Hematology Associates of Central Illinois P C | Past | Accepting new patients |
Locations
657 W Lincolnway
Morrison, IL 61270
Phone (815) 772-4003
303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003
Interoperability endpoints
- elliebullis@mchospital.medalliesdirect.net
- ebullis113660@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | A167150 | IA | |
| Nurse Practitioner | 363L00000X | 209029380 | IL | Yes |
Addresses
Primary practice location
303 N Jackson St
Morrison, IL 61270-3042
Mailing address
303 N Jackson St
Morrison, IL 61270-3042
Phone (815) 772-4003
Other practice location 1
1351 Kimberly Rd Ste 100
Bettendorf, IA 52722-4193
Phone (563) 355-7733
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209029380 | Other | IL | IL ARNP LICENSE |
| A167150 | Other | IA | IOWA ARNP LICENSE |
Other names
- Ellie Tarr
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ellie-tarr@uiowa.edu | Direct | |
| Direct Messaging Address | ebullis@mchstaff.com | Direct |
Other providers in Morrison, IL
- Rebecca Backhus
- Pedro Becerra
- Big Meadows, Inc.
- William Bird
- Steven Braasch
- CGH Medical Center
- Clinton Physical Therapy Services
- County of Whiteside
- County of Whiteside
- Lindsay R Dail
All providers in Morrison, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.