Mrs Amanda L Ellis, APRNCNP - Medicare Nurse Practitioner in Canton, OH

Mrs Amanda L Ellis, APRNCNP is a medicare enrolled "Nurse Practitioner - Family" in Canton, Ohio. 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 Lifecare Family Health And Dental Center, Inc. and her current practice location is 408 9th St Sw, Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at (330) 454-2000.

Mrs Amanda L Ellis is licensed to practice in Ohio (license number APRN.CNP.025521) 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 1902443195.

Contact Information

Mrs Amanda L Ellis, APRNCNP
408 9th St Sw,
Canton, OH 44707-4714
(330) 454-2000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Amanda L Ellis
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location408 9th St Sw, Canton, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Amanda L Ellis graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1902443195
  • Provider Enumeration Date: 12/06/2019
  • Last Update Date: 01/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9032538863
  • Enrollment ID: I20200929000968

Medical Identifiers

Medical identifiers for Mrs Amanda L Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902443195NPI-NPPES
0414147MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.025521 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Medical CenterCanton, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifecare Family Health And Dental Center, Inc.731595948311

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. Mrs Amanda L Ellis allows following entities to bill medicare on her behalf.
Entity NameLifecare Family Health And Dental Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013964923
PECOS PAC ID: 7315959483
Enrollment ID: O20131031001454
Entity NameGrace Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760850911
PECOS PAC ID: 5597072827
Enrollment ID: O20150929001445

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. Mrs Amanda L 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
Mrs Amanda L Ellis, APRNCNP
408 9th St Sw,
Canton, OH 44707-4714

Ph: () -
Mrs Amanda L Ellis, APRNCNP
408 9th St Sw,
Canton, OH 44707-4714

Ph: (330) 454-2000

Reviews and Comments


Nurse Practitioner Nurses in Canton, OH

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Practice Location: 2600 Tuscarawas St W, Canton, OH 44708
Phone: 330-363-9632    

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.