Adam C Ellis, PMHNP - Medicare Nurse Practitioner in West Jordan, UT

  1. Home
  2. Nurse Practitioner
  3. UT
  4. West Jordan
Adam C Ellis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Jordan, Utah. His current practice location is 9069 S 1300 W, West Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 483-1600.

Adam C Ellis is licensed to practice in Utah (license number 9405969-4408) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528734118.

Contact Information

Adam C Ellis, PMHNP
9069 S 1300 W,
West Jordan, UT 84088-6713
(801) 483-1600
Not Available

Map and Direction




Provider's Profile

Full NameAdam C Ellis
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location9069 S 1300 W, West Jordan, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528734118
  • Provider Enumeration Date: 08/23/2021
  • Last Update Date: 12/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7214319292
  • Enrollment ID: I20220808002196

Medical Identifiers

Medical identifiers for Adam C Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528734118NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 9405969-4408 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Adam C Ellis allows following entities to bill medicare on his behalf.
Entity NameComprehensive Psychological Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407878333
PECOS PAC ID: 2365345741
Enrollment ID: O20040202000251

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Adam C Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Adam C Ellis, PMHNP
9069 S 1300 W,
West Jordan, UT 84088-6713

Ph: (801) 483-1600		Adam C Ellis, PMHNP
9069 S 1300 W,
West Jordan, UT 84088-6713

Ph: (801) 483-1600

Reviews and Comments


Nurse Practitioner Nurses in West Jordan, UT

Peggy Anne Jerome, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 8537 Redwood Rd, Suite A - Main Level, West Jordan, UT 84088
Phone: 801-568-2898    
Megan Bliss,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3354 W 7800 S, West Jordan, UT 84088
Phone: 801-282-2677    
Gaylinn Breeze, APRN, AGPCNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7093 S 2980 W, West Jordan, UT 84084
Phone: 801-554-2849    
Elizabeth Huser, FNP-BC, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7777 S Redwood Rd, West Jordan, UT 84084
Phone: 000-000-0000    
Karty Dormera,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3895 W 7800 S Ste 100, West Jordan, UT 84088
Phone: 801-280-7774    Fax: 801-748-2790
Kim Sundstrom, DNP, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9289 S Redwood Rd Ste C, West Jordan, UT 84088
Phone: 801-568-2898    
Bari Michelle King, F.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3570 W 9000 S, Suite, 100, West Jordan, UT 84088
Phone: 801-569-1999    Fax: 801-569-2001

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.