Mary Ellis, in Fremont, NE - Medicare Nurse Practitioner

Mary Ellis, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fremont, Nebraska. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Methodist Fremont Health and her current practice location is 2560 N Healthy Way, Fremont, Nebraska. You can reach out to her office (for appointments etc.) via phone at (029) 417-2454.

Mary Ellis is licensed to practice in Nebraska (license number 113044) 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 1790105948.

Contact Information

	Mary Ellis,
	2560 N Healthy Way, Fremont, NE 68025-2315
	(029) 417-2454
	(402) 941-7244

Map and Direction

Provider's Profile

Full Name	Mary Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2560 N Healthy Way, Fremont, Nebraska
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:

Mary Ellis graduated from nursing school in 2019

NPI Data:

NPI Number: 1790105948
Provider Enumeration Date: 04/25/2014
Last Update Date: 08/05/2022

Medicare PECOS Information:

PECOS PAC ID: 6204262363
Enrollment ID: I20200208000074

Medical Identifiers

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

Identifier	Type	State	Issuer
1790105948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	55813 (Nebraska)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	113044 (Nebraska)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Methodist Fremont Health	7911258520	71

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

Entity Name	Family Enrichment Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164582169 PECOS PAC ID: 5698728509 Enrollment ID: O20050302000740

Entity Name	Methodist Fremont Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235618216 PECOS PAC ID: 7911258520 Enrollment ID: O20181017000110

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. Mary 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
Mary Ellis, 825 S 169th St Fl 3, Omaha, NE 68118-9300 Ph: (402) 354-4822	Mary Ellis, 2560 N Healthy Way, Fremont, NE 68025-2315 Ph: (029) 417-2454

Reviews and Comments

Nurse Practitioner Nurses in Fremont, NE

Emily Nicole Johnson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 E 29th St, Fremont, NE 68025 Phone: 402-753-2900
Claire Montoya, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 W 23rd St, Fremont, NE 68025 Phone: 402-721-7077 Fax: 402-721-7324
Zachary Beerman, APRN (PMHNP) Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2560 N Healthy Way, Fremont, NE 68025 Phone: 402-941-7245
Mrs. Kimberly D Mueller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1240 E 23rd St, Fremont, NE 68025 Phone: 402-815-9741
Amanda Nicole Esterling, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 220 E 22nd St, Fremont, NE 68025 Phone: 402-727-5500 Fax: 402-727-6047
Megan Grote, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 E 23rd St, Fremont, NE 68025 Phone: 402-941-7030 Fax: 402-941-7032
Amber Christine Juricek, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 680 E Fremont Medical Park Dr, Fremont, NE 68025 Phone: 402-727-1091

Mary Ellis, - Medicare Nurse Practitioner in Fremont, NE