Nicolas Gerald Ellis, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

RT-2527 Issued in NH

Practice address

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone

(603) 650-5000

NPI assigned

Mar 5, 2012

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Geisel School of Medicine at Dartmouth, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson Emergency Physicians PLLCGroup PAC ID 4880048560, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Jefferson Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1609559699
  Medicare reassignment Care Compare group NPD
• Sound Physicians Emergency Medicine of Texas PLLC

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1518475557
  Medicare reassignment NPD
• Jasper Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Jasper, TX
  • NPI 1346442746
  NPD
• Jefferson Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Beaumont, TX
  • NPI 1497966949
  NPD
• Southeast Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1831781491
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Southeast Texas

  dba CHRISTUS Southeast Texas - St. Elizabeth

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1811261118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DRIVE",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03756",
            "telephone_number": "603-650-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "NICOLAS",
        "middle_name": "GERALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NH",
            "license": "RT-2527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Eivers, MD
• Ryan E Ela, PA
• James Harvey Elder IV, M.D.
• Martha K Elias, MD
• Cheryl Ann Elinsky, PA
• Mohamed Elsheikh
• Pamela Ely, MD
• Victoria Oliver Emery, MSW, LICSW
• Margaret A Emmons, NP
• Richard Ian Enelow, MD

• Emergency Medicine Physician in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Emergency Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.