Keisha Ellis, NP in Roswell, NM - Medicare Nurse Practitioner

Keisha Ellis, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roswell, New Mexico. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Roswell Clinic Corp and her current practice location is 601 W Country Club Rd Ste 102, Roswell, New Mexico. You can reach out to her office (for appointments etc.) via phone at (575) 624-4922.

Keisha Ellis is licensed to practice in New Mexico (license number CNP-03387) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508318494.

Contact Information

	Keisha Ellis, NP
	601 W Country Club Rd Ste 102, Roswell, NM 88201-5227
	(575) 624-4922
	(575) 624-4902

Map and Direction

Provider's Profile

Full Name	Keisha Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	601 W Country Club Rd Ste 102, Roswell, New Mexico
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keisha Ellis graduated from nursing school in 2007

NPI Data:

NPI Number: 1508318494
Provider Enumeration Date: 10/26/2016
Last Update Date: 08/21/2024

Medicare PECOS Information:

PECOS PAC ID: 3072898246
Enrollment ID: I20180926003432

Medical Identifiers

Medical identifiers for Keisha Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508318494	NPI	-	NPPES
44672322	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CNP-03387 (New Mexico)	Primary
363LF0000X	Nurse Practitioner - Family	CNP03387 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	9281197 (Florida)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Encompass Health Home Health	Roswell, NM	Home health agency
Frontier Medical Home Care, Inc	Roswell, NM	Home health agency
Eastern New Mexico Medical Center	Roswell, NM	Hospital
Lovelace Regional Hospital - Roswell	Roswell, NM	Hospital
Artesia General Hospital	Artesia, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Roswell Clinic Corp	9436062759	28

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. Keisha Ellis allows following entities to bill medicare on her behalf.

Entity Name	Roswell Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799

Entity Name	Behavioral Health Services Of New Mexico Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427330679 PECOS PAC ID: 1153570544 Enrollment ID: O20151202000115

Entity Name	Bright Heart Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447643853 PECOS PAC ID: 5597026310 Enrollment ID: O20190110000234

Entity Name	K Ellis Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124885348 PECOS PAC ID: 9931548518 Enrollment ID: O20240416000460

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. Keisha 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 Address	Practice Location Address
Keisha Ellis, NP 1209 Mountain Road Pl Ne # 4953, Albuquerque, NM 87110-7845 Ph: (800) 524-1212	Keisha Ellis, NP 601 W Country Club Rd Ste 102, Roswell, NM 88201-5227 Ph: (575) 624-4922

Reviews and Comments

Nurse Practitioner Nurses in Roswell, NM

Dr. Krasimir M Hristov, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E College Blvd Ste E, Roswell, NM 88201 Phone: 575-623-3155 Fax: 915-587-6324
Katherine M Thatcher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 N Delaware Ave, Roswell, NM 88203 Phone: 575-973-8543 Fax: 575-578-1901
Mrs. Leticia Medrano, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E 23rd St, Roswell, NM 88201 Phone: 575-625-1292 Fax: 575-624-4836
Tonia Elizabeth Montoya, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273
Darla Gene Melton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Country Club Rd Ste 230, Roswell, NM 88201 Phone: 575-622-1411 Fax: 575-624-5630
Ms. Kimberly A Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Bland St, Roswell, NM 88203 Phone: 575-623-1303 Fax: 575-622-1303
Rachel M Schupp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273

Keisha Ellis, NP - Medicare Nurse Practitioner in Roswell, NM