Mishell Ellis, FNP-BC in Hampton, VA - Medicare Nurse Practitioner

Mishell Ellis, FNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hampton, Virginia. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Riverside Physician Services Inc and her current practice location is 2244 Executive Dr, Hampton, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 827-1001.

Mishell Ellis is licensed to practice in Virginia (license number 0024174257) 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 1811325764.

Contact Information

	Mishell Ellis, FNP-BC
	2244 Executive Dr, Hampton, VA 23666-2430
	(757) 827-1001
	Not Available

Map and Direction

Provider's Profile

Full Name	Mishell Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	2244 Executive Dr, Hampton, Virginia
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:

Mishell Ellis graduated from nursing school in 2013

NPI Data:

NPI Number: 1811325764
Provider Enumeration Date: 10/30/2013
Last Update Date: 08/23/2023

Medicare PECOS Information:

PECOS PAC ID: 1658509534
Enrollment ID: I20170131000804

Medical Identifiers

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

Identifier	Type	State	Issuer
1811325764	NPI	-	NPPES
0024174257	Other	VA	VIRGINIA NURSE PRACTITIONER LICENSE
RN234444	Other	GA	STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024174257 (Virginia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024174257 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Riverside Regional Medical Center	Newport news, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Riverside Physician Services Inc	5092608448	738

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

Entity Name	Riverside Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400

Entity Name	Recover Together Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201026000131

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. Mishell 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
Mishell Ellis, FNP-BC 856 J Clyde Morris Blvd Ste A, Newport News, VA 23601-1318 Ph: (757) 316-5800	Mishell Ellis, FNP-BC 2244 Executive Dr, Hampton, VA 23666-2430 Ph: (757) 827-1001

Reviews and Comments

Nurse Practitioner Nurses in Hampton, VA

Un Chong Kim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 850 Enterprise Pkwy, Suite 2000, Hampton, VA 23666 Phone: 757-838-5055 Fax: 757-827-0129
Mary Townsend Adams, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Coliseum Dr, Hampton, VA 23666 Phone: 757-736-1000
Mrs. Virgil Charles, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2112 Hartford Rd, Hampton, VA 23666 Phone: 757-826-7516
Mrs. Nicey Ann Kearney, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-728-3392
Mrs. Annette Lavern Dawson, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-726-6077
Esi Dansowa Lagbo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 Enterprise Pkwy, Suite 1300, Hampton, VA 23666 Phone: 757-637-4600 Fax: 757-637-7641
Dr. Arinola R Allison, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Emancipation Dr, Hampton, VA 23667 Phone: 757-722-9961 Fax: 757-315-3432

Mishell Ellis, FNP-BC - Medicare Nurse Practitioner in Hampton, VA