Marcia Ellis, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

94617 Issued in CO

Practice address

3260 E Woodmen Rd Ste 210
Colorado Springs, CO 80920-3587

Phone

(719) 262-0852

Fax

(719) 262-0853

NPI assigned

Mar 5, 2007

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 CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: marcia.ellis.1@17255.direct.athenahealth.com

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.

• Front Range Family Medicine

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1528275906
  Medicare reassignment

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1811026610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17560 CHARTER PINES DR",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328478",
            "telephone_number": "719-481-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 E WOODMEN RD STE 210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203587",
            "telephone_number": "719-262-0852",
            "fax_number": "719-262-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "MARCIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "94617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jean Elliott, RN
• Ashley Michelle Ellis, CNM
• Elizabeth Ellis, RN BSN
• Jacob Ellis, PA-C
• Lexi Ellis, MA, LPC
• Phillip Charles Ellis, RMT, CNMT
• Randall William Ellis, DDS
• Ryan Ellis, RBT
• Samuel J Ellis, RN
• Syndi Ellis

• Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.