Kimberly Ellis, APRN - Medicare Nurse Practitioner in Williamson, WV

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Kimberly Ellis, APRN is a medicare enrolled "Nurse Practitioner - Family" in Williamson, West Virginia. Her current practice location is 104 Logan St, Williamson, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 236-5902.

Kimberly Ellis is licensed to practice in West Virginia (license number 44540) 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 1972191195.

Contact Information

Kimberly Ellis, APRN
104 Logan St,
Williamson, WV 25661-3606
(304) 236-5902
(304) 235-8150

Map and Direction




Provider's Profile

Full NameKimberly Ellis
GenderFemale
SpecialityNurse Practitioner - Family
Location104 Logan St, Williamson, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972191195
  • Provider Enumeration Date: 01/04/2021
  • Last Update Date: 01/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9931515178
  • Enrollment ID: I20210312000498

Medical Identifiers

Medical identifiers for Kimberly Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972191195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 44540 (West Virginia)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. Kimberly Ellis allows following entities to bill medicare on her behalf.
Entity NameWilliamson Health & Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467711150
PECOS PAC ID: 5395972996
Enrollment ID: O20140521000620
Entity NameWilliamson Health & Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730669524
PECOS PAC ID: 5395972996
Enrollment ID: O20191015003494
Entity NameWilliamson Health & Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386115905
PECOS PAC ID: 5395972996
Enrollment ID: O20200324003697
Entity NameWilliamson Health & Wellness Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942840384
PECOS PAC ID: 5395972996
Enrollment ID: O20210308001675

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. Kimberly 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
Kimberly Ellis, APRN
104 Logan St,
Williamson, WV 25661-3606

Ph: (304) 236-5902		Kimberly Ellis, APRN
104 Logan St,
Williamson, WV 25661-3606

Ph: (304) 236-5902

Reviews and Comments


Nurse Practitioner Nurses in Williamson, WV

Tina Lee Brown-cohenour, MSN RN, APRN FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 184 E 2nd Ave Ste 210, Williamson, WV 25661
Phone: 304-236-5902    Fax: 855-487-4047
Mrs. Tiara Lyn Ferrell, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 160 E 2nd Ave, Williamson, WV 25661
Phone: 304-784-7165    
Jennifer Kay Mcpeek, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104 Logan St, Williamson, WV 25661
Phone: 304-236-5902    
Mrs. Aimee Michelle Colegrove, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 872 Route 65, Williamson, WV 25661
Phone: 304-475-3700    Fax: 304-475-3780
Deborah Gail Epling, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 184 E 2nd Ave Ste 210, Williamson, WV 25661
Phone: 304-236-5902    
Traci Thornsbury, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 104 Logan St Ste A, Williamson, WV 25661
Phone: 304-236-5902    
Traci Lynn Booth, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 184 E 2nd Ave Ste 1, Williamson, WV 25661
Phone: 304-235-2930    Fax: 304-235-2933

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.