Kelly Ellis, NURSE PRACTITIONER in Saginaw, MI

Kelly Ellis, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Women's Health" in Saginaw, Michigan. Her current practice location is 1000 Houghton Ave, Saginaw, Michigan. You can reach out to her office (for appointments etc.) via phone at (989) 746-7869.

Kelly Ellis is licensed to practice in Michigan (license number 4704295494NSA200E5) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821615279.

Contact Information

	Kelly Ellis, NURSE PRACTITIONER
	1000 Houghton Ave, Saginaw, MI 48602-5303
	(989) 746-7869
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly Ellis
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	1000 Houghton Ave, Saginaw, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821615279
Provider Enumeration Date: 07/01/2020
Last Update Date: 09/21/2021

Medicare PECOS Information:

PECOS PAC ID: 8224435615
Enrollment ID: I20210928001831

Medical Identifiers

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

Identifier	Type	State	Issuer
1821615279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	4704295494NSA200E5 (Michigan)	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. Kelly Ellis allows following entities to bill medicare on her behalf.

Entity Name	Saginaw Cooperative Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346344991 PECOS PAC ID: 3971400318 Enrollment ID: O20031215000723

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. Kelly 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
Kelly Ellis, NURSE PRACTITIONER 1000 Houghton Ave, Saginaw, MI 48602-5303 Ph: (989) 746-7500	Kelly Ellis, NURSE PRACTITIONER 1000 Houghton Ave, Saginaw, MI 48602-5303 Ph: (989) 746-7869

Reviews and Comments

Nurse Practitioner Nurses in Saginaw, MI

Katie Ann Londos, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Houghton Ave, Saginaw, MI 48602 Phone: 989-746-7500
Mary Beach, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3400 S Washington Rd, Saginaw, MI 48601 Phone: 810-356-5556
Heidi Richards, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Cooper Ave Ste 3100, Saginaw, MI 48602 Phone: 989-583-7450 Fax: 989-583-7452
Lindsay Gene Kasper, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 926 N Michigan Ave, Saginaw, MI 48602 Phone: 989-753-8453
Ms. Sara Reid Hinderer, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1522 Janes Ave, Saginaw, MI 48601 Phone: 989-755-0316 Fax: 989-755-0956
Mr. Hall Hewett Jr., FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2429 Trautner Dr, Saginaw, MI 48604 Phone: 989-790-3697 Fax: 989-790-5035
Ms. Karen Gee Olson, R.N., A.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Houghton Ave., Synergy Medical Education Alliance, Saginaw, MI 48602 Phone: 989-583-6986 Fax: 989-583-6994

Kelly Ellis, NURSE PRACTITIONER - Medicare Nurse Practitioner in Saginaw, MI