Shaylise Ellis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP137200 Issued in TX

Practice address

1605 S 31St St
Temple, TX 76508-7451

Phone

(254) 215-0100

Fax

(254) 215-0636

NPI assigned

Jun 7, 2018

Last updated

Jan 30, 2025By the provider in NPPES

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 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freedom Urgent Care, PLLCGroup PAC ID 2961546221, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Freedom Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Harker Heights, TX
  • NPI 1104153998
  Medicare reassignment Care Compare group NPD
• Freedom Urgent Care PLLC

  dba Freedom Urgent Care

  • Urgent Care Clinic/Center
  • Killeen, TX
  • NPI 1083151377
  NPD

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1790278497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765087451",
            "telephone_number": "254-215-0100",
            "fax_number": "254-215-0636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S 1st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765047451",
            "country_code": "US",
            "telephone_number": "254-743-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "SHAYLISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellis Group Counseling
• Amy Lynn Ellis, LCSW
• Brittany Ellis, DPT
• Christopher Ellis
• Richard Mark Ellis, DDS
• Timothy Allan Ellis, PA-C
• Elm Ridge Enterprises, LLC (Linda Malsbary, LCSW)
• Joanne F. Elwood, MS
• John V Elwood, PSYD
• Brian A. Emadi, P.A.

• Family Nurse Practitioner in Temple, TX
• Providers in Temple, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.