Stephanie Ellis, MSN in Provo, UT - Medicare Nurse Practitioner

Stephanie Ellis, MSN is a medicare enrolled "Nurse Practitioner - Adult Health" in Provo, Utah. Her current practice location is 395 W Cougar Blvd Ste 104, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 357-8200.

Stephanie Ellis is licensed to practice in Utah (license number 7558496-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942958673.

Contact Information

	Stephanie Ellis, MSN
	395 W Cougar Blvd Ste 104, Provo, UT 84604-3334
	(801) 357-8200
	(801) 357-8201

Map and Direction

Provider's Profile

Full Name	Stephanie Ellis
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	395 W Cougar Blvd Ste 104, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942958673
Provider Enumeration Date: 03/11/2022
Last Update Date: 03/11/2022

Medicare PECOS Information:

PECOS PAC ID: 5799162590
Enrollment ID: I20220517002138

Medical Identifiers

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

Identifier	Type	State	Issuer
1942958673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	7558496-4405 (Utah)	Primary

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

Entity Name	Utah Cancer Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619925369 PECOS PAC ID: 1355254749 Enrollment ID: O20031111000618

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. Stephanie 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
Stephanie Ellis, MSN 1121 E 3900 S Ste C230, Salt Lake City, UT 84124-1297 Ph: (801) 262-9494	Stephanie Ellis, MSN 395 W Cougar Blvd Ste 104, Provo, UT 84604-3334 Ph: (801) 357-8200

Reviews and Comments

Nurse Practitioner Nurses in Provo, UT

Sharla Morgan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604 Phone: 801-356-1300 Fax: 801-356-1304
Ashley Saunders, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604 Phone: 801-812-5033 Fax: 801-812-5034
Mr. Michael Frank Gibson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604 Phone: 801-373-8930 Fax: 801-377-6811
Connie Denise Taylor, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606 Phone: 801-877-5801 Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604 Phone: 801-373-4366 Fax: 801-429-8191
Amber Elexis Marsh, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 395 W Cougar Blvd, Provo, UT 84604 Phone: 801-357-7850
Melissa Sue Guest, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 N Freedom Blvd, Provo, UT 84601 Phone: 801-373-4760

Stephanie Ellis, MSN - Medicare Nurse Practitioner in Provo, UT