Mrs Vickie Eileen Ellis, APN/CNP - Nurse Practitioner in Champaign, IL

Mrs Vickie Eileen Ellis, APN/CNP is a Nurse Practitioner - Obstetrics & Gynecology based in Champaign, Illinois. Mrs Vickie Eileen Ellis is licensed to practice in Illinois (license number 209002125) and her current practice location is 201 W. Kenyon Rd, Champaign, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 531-5365.

NPI number for Mrs Vickie Eileen Ellis is 1619102456 and her current mailing address is 201 W Kenyon Rd, Champaign, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619102456.

Contact Information

Mrs Vickie Eileen Ellis, APN/CNP
201 W. Kenyon Rd,
Champaign, IL 61820-7892
(217) 531-5365
(217) 531-5378

Map and Direction




Provider's Profile

Full NameMrs Vickie Eileen Ellis
GenderFemale
SpecialityNurse Practitioner - Obstetrics & Gynecology
Location201 W. Kenyon Rd, Champaign, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619102456
  • Provider Enumeration Date: 05/22/2009
  • Last Update Date: 08/17/2012

Medical Identifiers

Medical identifiers for Mrs Vickie Eileen Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619102456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 209002125 (Illinois)Primary

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 Vickie Eileen Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Vickie Eileen Ellis, APN/CNP
201 W Kenyon Rd,
Champaign, IL 61820-7892

Ph: (217) 531-5365
Mrs Vickie Eileen Ellis, APN/CNP
201 W. Kenyon Rd,
Champaign, IL 61820-7892

Ph: (217) 531-5365

Reviews and Comments


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Phone: 217-365-6207    Fax: 217-365-6380
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Miss Abigayl Frields, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 1813 W Kirby Ave Ste 120, Champaign, IL 61821
Phone: 217-383-3131    

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