Samantha Ellis, DNP - Nurse Practitioner in Phoenix, AZ

Samantha Ellis, DNP is a Nurse Practitioner - Pediatrics based in Phoenix, Arizona. Samantha Ellis is licensed to practice in Arizona (license number AP8278) and her current practice location is 15420 N 32nd Dr, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 866-1974.

NPI number for Samantha Ellis is 1356799985 and her current mailing address is Po Box 19305, Charlotte, North Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356799985.

Contact Information

Samantha Ellis, DNP
15420 N 32nd Dr,
Phoenix, AZ 85053
(602) 866-1974
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Ellis
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location15420 N 32nd Dr, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1356799985
  • Provider Enumeration Date: 05/24/2016
  • Last Update Date: 08/23/2019

Medical Identifiers

Medical identifiers for Samantha Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356799985NPI-NPPES
387005MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics AP8278 (Arizona)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. Samantha 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
Samantha Ellis, DNP
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -
Samantha Ellis, DNP
15420 N 32nd Dr,
Phoenix, AZ 85053

Ph: (602) 866-1974

Reviews and Comments


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