Anitra Marie Ellis, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

WV81437 Issued in WV

Practice address

50 Lenore Business Center
Williamson, WV 25661

Phone

(304) 475-3700

NPI assigned

Jul 21, 2016

Sex

Female

Sole proprietor

Yes

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.

• Rural Health Access Corporation

  • Federally Qualified Health Center (FQHC)
  • Chapmanville, WV
  • NPI 1124253083

  Family, WV

  Medicare reassignment Care Compare group NPD
• Apogee Medical Group, West Virginia, PLLC

  • General Practice Physician
  • Logan, WV
  • NPI 1669708442

  Nurse Practitioner, WV

  Medicare reassignment NPD
• Health Care Alliance, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1730128760

  WV

  Medicare reassignment NPD
• West Virginia Health Right, Inc.

  • Health Service Clinic/Center
  • Charleston, WV
  • NPI 1124453964

  WV

  Medicare reassignment NPD
• Rural Health Access Corporation

  • Federally Qualified Health Center (FQHC)
  • Chapmanville, WV
  • NPI 1366140121
  Care Compare group NPD
• Rural Health Access Corporation

  • Federally Qualified Health Center (FQHC)
  • Chapmanville, WV
  • NPI 1184206161
  Care Compare group NPD (past)
• Mingo County Family Wellness Center LLC

  • Primary Care Clinic/Center
  • Williamson, WV
  • NPI 1801283882
  NPD (past)
• Tug Valley Wellness Center, LLC

  • Family Medicine Physician
  • Williamson, WV
  • NPI 1659993350
  NPD (past)

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

• Boone Memorial Hospital, Inc

  • Critical Access Hospital
  • Madison, WV
  • NPI 1639135221

  Hospital

  Care Compare affiliation
• Dignity Hospice of Southern West Virginia, Inc.

  • Community Based Hospice Care Agency
  • Chapmanville, WV
  • NPI 1992846307

  Home health agency

  Care Compare affiliation
• Logan General Hospital LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Logan, WV
  • NPI 1295789675

  Hospital

  Care Compare affiliation
• Logan General Hospital LLC

  • General Acute Care Hospital
  • Logan, WV
  • NPI 1750332565

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Health Access Corporation 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dignity Home Health Home health agency, Chapmanville, WV, CCN 517134
• Logan Regional Medical Center Hospital, Logan, WV, CCN 510048
• Boone Memorial Hospital Hospital, Madison, WV, CCN 511313

Medicare fee-for-service enrollment

Enrolled in WV

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12396/brand/1/csg/1/fhir/r4
• Direct secure messaging: anitra.ellis.1@16636.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2016.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1831542281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 754",
            "city": "CHAPMANVILLE",
            "state": "WV",
            "postal_code": "255080754",
            "telephone_number": "304-855-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LENORE BUSINESS CENTER",
            "city": "WILLIAMSON",
            "state": "WV",
            "postal_code": "25661",
            "telephone_number": "304-475-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ANITRA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "WV81437",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "APRN81437-NP-C",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethel Duty
• Jeremy Wilson Dyar
• Heather Edmiston, LPN
• Stan Elkins
• Tondra Elkins
• Corrinna Kay Ellis
• Kimberly Ellis, APRN
• Alice Marie Endicott
• Nikita Kaye Endicott
• Deborah Gail Epling, FNP-C

• All providers in Williamson, WV
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.