Active NPI
Mishell C Ellis, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Charlottesville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0024174257
- Practice address
- 2335 Seminole LN Ste 200
Charlottesville, VA 22901-8303 - Phone
- (434) 980-6161
- Fax
- (434) 972-4283
- NPI assigned
- Oct 30, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0024174257 | VA | Primary |
Addresses
Primary practice location
2335 Seminole LN Ste 200
Charlottesville, VA 22901-8303
Mailing address
PO Box 749112
Atlanta, GA 30374-9112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024174257 | Other | VA | VIRGINIA NURSE PRACTITIONER LICENSE |
| RN234444 | Other | GA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
125 Olde Greenwich Dr
Suite 300
Fredericksburg, VA 22408-4008
Phone (540) 374-5599
2244 Executive Dr
Hampton, VA 23666-2430
Phone (757) 827-1001
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| Riverside Physician Services, Inc. | Current | Accepting new patients | |
| Riverside Physician Services Inc | Current | Accepting new patients | |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Colonial Internal Medicine Associates PC | Current | Accepting new patients | |
| Riverside Physician Services Inc | Past | Accepting new patients |
Locations
2335 Seminole Ln
Ste 200
Charlottesville, VA 22901
Phone (434) 975-7700
125 Olde Greenwich Dr
Ste 300
Fredericksburg, VA 22408
Phone (540) 374-5599
2244 Executive Dr
Hampton, VA 23666
Phone (757) 827-1001
858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
392 Garrisonville Rd
Ste 106
Stafford, VA 22554
Phone (540) 374-5599
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1346260940
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- Family Medicine Physician
- Newport News, VA
- NPI 1710020623
-
- Family Medicine Physician
- Newport News, VA
- NPI 1013933977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1811325764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749112",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303749112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 SEMINOLE LN STE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229018303",
"telephone_number": "434-980-6161",
"fax_number": "434-972-4283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "MISHELL",
"middle_name": "C",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-30",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "VA",
"license": "0024174257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA NURSE PRACTITIONER LICENSE",
"identifier": "0024174257",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RN234444",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.