Mrs Autumn Denise Ellis, FNP-C - Medicare Nurse Practitioner in Halls, TN

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Mrs Autumn Denise Ellis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Halls, Tennessee. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wt Medical Associates and her current practice location is 320 S Church St, Halls, Tennessee. You can reach out to her office (for appointments etc.) via phone at (731) 836-9303.

Mrs Autumn Denise Ellis is licensed to practice in Tennessee (license number 29129) 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 1194301242.

Contact Information

Mrs Autumn Denise Ellis, FNP-C
320 S Church St,
Halls, TN 38040-1510
(731) 836-9303
Not Available

Map and Direction




Provider's Profile

Full NameMrs Autumn Denise Ellis
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location320 S Church St, Halls, Tennessee
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 Autumn Denise Ellis graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1194301242
  • Provider Enumeration Date: 03/19/2021
  • Last Update Date: 03/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5193127157
  • Enrollment ID: I20210713002630

Medical Identifiers

Medical identifiers for Mrs Autumn Denise Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194301242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 29129 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health CareJackson, TNHome health agency
Dyersburg Regional Medical CenterDyersburg, TNHospital
Jackson-madison County General HospitalJackson, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wt Medical Associates195165061352

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 Autumn Denise Ellis allows following entities to bill medicare on her behalf.
Entity NameWt Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295223279
PECOS PAC ID: 1951650613
Enrollment ID: O20180814002772

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 Autumn Denise 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 Autumn Denise Ellis, FNP-C
3189 Garrett Ball Rd,
Gates, TN 38037-5206

Ph: (731) 694-2872		Mrs Autumn Denise Ellis, FNP-C
320 S Church St,
Halls, TN 38040-1510

Ph: (731) 836-9303

Reviews and Comments


Nurse Practitioner Nurses in Halls, TN

Mr. Jeffrey Steven Hampton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 S Front St, Halls, TN 38040
Phone: 731-836-5617    Fax: 731-836-5284
Melinda H. Olds,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15481 Edith Nankipoo Rd, Halls, TN 38040
Phone: 731-413-7825    
Mrs. Jennifer Wright Mcwilliams, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 462 S Church St, Halls, TN 38040
Phone: 731-836-9303    Fax: 731-836-9603
Shannon Rebecca Atchison, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 115 W Tigrett St, Apt A, Halls, TN 38040
Phone: 731-836-9444    Fax: 731-836-9443

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.