Kimberly Carol Ellison, NP - Medicare Nurse Practitioner in Wytheville, VA

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Kimberly Carol Ellison, NP is a medicare enrolled "Nurse Practitioner - Family" in Wytheville, Virginia. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mount Rogers Community Services and her current practice location is 770 W Ridge Rd Ste 220, Wytheville, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 223-3202.

Kimberly Carol Ellison is licensed to practice in Virginia (license number 0024167810) 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 1205094174.

Contact Information

Kimberly Carol Ellison, NP
770 W Ridge Rd Ste 220,
Wytheville, VA 24382-1187
(276) 223-3202
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Carol Ellison
GenderFemale
SpecialityNurse Practitioner
Experience17 Years
Location770 W Ridge Rd Ste 220, Wytheville, Virginia
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:
  • Kimberly Carol Ellison graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1205094174
  • Provider Enumeration Date: 05/28/2008
  • Last Update Date: 10/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062659600
  • Enrollment ID: I20140602001416

Medical Identifiers

Medical identifiers for Kimberly Carol Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205094174NPI-NPPES
Q008296MedicaidTN
1205094174MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024167810 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mount Rogers Community Services125438747515

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. Kimberly Carol Ellison allows following entities to bill medicare on her behalf.
Entity NameMount Rogers Community Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255365599
PECOS PAC ID: 1254387475
Enrollment ID: O20050510001179
Entity NameRoyal Oak Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720035959
PECOS PAC ID: 8729046024
Enrollment ID: O20050907001191

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. Kimberly Carol Ellison 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
Kimberly Carol Ellison, NP
770 W Ridge Rd,
Wytheville, VA 24382-1187

Ph: (276) 223-3200		Kimberly Carol Ellison, NP
770 W Ridge Rd Ste 220,
Wytheville, VA 24382-1187

Ph: (276) 223-3202

Reviews and Comments


Nurse Practitioner Nurses in Wytheville, VA

Mrs. Cassie Ann Sheffey, FNP
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Medicare: Medicare Enrolled
Practice Location: 1375 W Ridge Rd, Wytheville, VA 24382
Phone: 276-228-8686    
Jessica L Newman, NP-C
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Medicare: Medicare Enrolled
Practice Location: 140 West Main Street, Wytheville, VA 24382
Phone: 276-228-2008    Fax: 276-228-5598
Kristen L Viars, FNP-C
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Practice Location: 600 W Ridge Rd, Wytheville, VA 24382
Phone: 276-228-0200    
Tara D Parks, FNP
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Medicare: Medicare Enrolled
Practice Location: 1785 W. Lee Hwy, Wytheville, VA 24382
Phone: 276-228-6499    Fax: 276-228-6145
Dr. Pamela Beaver Wells, DNP, FNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 255 Holston Rd, Wytheville, VA 24382
Phone: 276-227-0206    
Kara L Conley, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 340 Peppers Ferry Rd, Wytheville, VA 24382
Phone: 276-250-1675    Fax: 206-203-0141

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.