Individual provider Active NPI

Daisha Ellis, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1770414237
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1237324 Issued in TX
Practice address
10670 N Central Expy Ste 120
Dallas, TX 75231-2130
Phone
(214) 692-8541
NPI assigned
May 26, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1237324 TX Primary
Registered Nurse 163W00000X 971235 TX

Addresses

Primary practice location

10670 N Central Expy Ste 120
Dallas, TX 75231-2130

Mailing address

10670 N Central Expy Ste 120
Dallas, TX 75231-2130
Phone (214) 692-8541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20260621000032 TX Practitioner - Nurse Practitioner 2567935695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Specialists AssociatedGroup PAC ID 2365407202, 12 clinicians

Practice addresses (Care Compare)

10670 N Central Expy
Suite 120
Dallas, TX 75231-2130
Phone 2146928541213

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
971235TXMDRegistered Nurse
1237324TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists Associated PastSince Apr 17, 2022 Accepting new patients
Consultants in Radiology PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1770414237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312130",
            "telephone_number": "214-692-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10670 N CENTRAL EXPY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312130",
            "telephone_number": "214-692-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DAISHA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1237324",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "971235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.