Mary Ellis, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Valley, Nebraska. She graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Enrichment Inc and her current practice location is
223 E Condron St, Valley, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 517-7646.
Mary Ellis is licensed to practice in Nebraska (license number 113044) 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 1790105948.
Physician's Profile
| Full Name | Mary Ellis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 223 E Condron St, Valley, Nebraska |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Ellis graduated from medical school in 2019
NPI Data:
- NPI Number: 1790105948
- Provider Enumeration Date: 04/25/2014
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 6204262363
- Enrollment ID: I20200208000074
Medical Identifiers
Medical identifiers for Mary Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790105948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 113044 (Nebraska) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 113044 (Nebraska) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 55813 (Nebraska) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Enrichment Inc | 5698728509 | 5 |
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. Mary Ellis allows following entities to bill medicare on her behalf.
| Entity Name | Family Enrichment Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164582169
PECOS PAC ID: 5698728509
Enrollment ID: O20050302000740 |
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| Entity Name | Methodist Fremont Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235618216
PECOS PAC ID: 7911258520
Enrollment ID: O20181017000110 |
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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. Mary 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 |
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Mary Ellis, APRN
223 E Condron St,
Valley, NE 68064-3401
Ph: (402) 871-6010 | Mary Ellis, APRN
223 E Condron St,
Valley, NE 68064-3401
Ph: (402) 517-7646 |
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