Individual provider Active NPI

Nicole Ellis Page, NP

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1992253751
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21633 Issued in TN
Practice address
441 Donelson Pike
Suite 395
Nashville, TN 37214-3568
Phone
(615) 367-1444
Fax
(615) 367-1445
NPI assigned
Sep 21, 2016
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 181828 TN
Family Nurse Practitioner 363LF0000X 21633 TN Primary

Addresses

Primary practice location

441 Donelson Pike
Suite 395
Nashville, TN 37214-3568

Mailing address

441 Donelson Pike
Suite 395
Nashville, TN 37214-3568
Phone (615) 367-1444

Other names 1

  • Nicole Lynn Ellis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20170509000669 TN Practitioner - Nurse Practitioner 4385921964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of Tennessee PCGroup PAC ID 3072849637, 42 clinicians

Practice addresses (Care Compare)

5111 Peter Taylor Park Dr
Suite 500
Brentwood, TN 37027-2398
Phone (615) 510-6002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
181828TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of Tennessee, PC CurrentSince Aug 1, 2019 Accepting new patients
Ivxpress Inc PastSince Aug 1, 2019 Accepting new patients
Precision Health Care, Inc Past Accepting new patients

Locations

5111 Peter Taylor Park Dr
Ste 500
Brentwood, TN 37027
Phone (615) 510-6002

135 Chesapeake Ln
Clarksville, TN 37040
Phone (931) 548-0068

135 Chesapeake Ln
Ste 103
Clarksville, TN 37040
Phone (931) 548-0068

495 Dunlop Ln
Ste 115
Clarksville, TN 37040
Phone (888) 665-1444

1922 Shady Brook St
Columbia, TN 38401
Phone (931) 381-7053

1006 Glenbrook Way
Ste 130
Hendersonville, TN 37075
Phone (615) 505-4882

4007 Lebanon Pike
Hermitage, TN 37076

6216 Highland Place Way
Ste 101
Knoxville, TN 37919
Phone (865) 243-8100

2108 Medical Center Pkwy
Ste I
Murfreesboro, TN 37129
Phone (615) 624-9251

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1992253751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 DONELSON PIKE",
            "address_2": "SUITE 395",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143568",
            "telephone_number": "615-367-1444",
            "fax_number": "615-367-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 DONELSON PIKE",
            "address_2": "SUITE 395",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143568",
            "telephone_number": "615-367-1444",
            "fax_number": "615-367-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "NICOLE",
        "middle_name": "ELLIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "181828",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ELLIS",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.