Amber Ellis, in Clayton, NC - Medicare Nurse Practitioner

Amber Ellis, is a medicare enrolled "Nurse Practitioner - Family" in Clayton, North Carolina. She graduated from nursing 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 Wake Specialty Physicians Llc and her current practice location is 12701 Us 70w, Clayton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 235-1968.

Amber Ellis is licensed to practice in North Carolina (license number 5012261) 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 1750940847.

Contact Information

	Amber Ellis,
	12701 Us 70w, Clayton, NC 27520-2195
	(919) 235-1968
	Not Available

Map and Direction

Provider's Profile

Full Name	Amber Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	12701 Us 70w, Clayton, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Amber Ellis graduated from nursing school in 2019

NPI Data:

NPI Number: 1750940847
Provider Enumeration Date: 06/11/2019
Last Update Date: 12/05/2022

Medicare PECOS Information:

PECOS PAC ID: 1456761196
Enrollment ID: I20201106002436

Medical Identifiers

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

Identifier	Type	State	Issuer
1750940847	NPI	-	NPPES
1750940847	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5012261 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	F06190711 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	5012261 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wakemed, Raleigh Campus	Raleigh, NC	Hospital
Wakemed, Cary Hospital	Cary, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Specialty Physicians Llc	7416006085	164

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

Entity Name	Wake Specialty Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942440375 PECOS PAC ID: 7416006085 Enrollment ID: O20090601000520

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. Amber 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
Amber Ellis, Po Box 602195, Charlotte, NC 28260-2195 Ph: (877) 498-4490	Amber Ellis, 12701 Us 70w, Clayton, NC 27520-2195 Ph: (919) 235-1968

Reviews and Comments

Nurse Practitioner Nurses in Clayton, NC

Stephanie Renee Howard, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 91 Topwater Dr Apt 104, Clayton, NC 27527 Phone: 984-960-9011
Lynn Ton Zimmers, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Medspring Drive, Suite 100, Clayton, NC 27520 Phone: 919-359-3500 Fax: 919-359-3501
Mrs. Anna Sullivan Bruton, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 34 Healthpark Way Ste 100, Clayton, NC 27520 Phone: 919-585-8850 Fax: 919-585-8869
Mrs. Amanda Bradley Johnson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11491 Us 70 Hwy W, Clayton, NC 27520 Phone: 919-550-2484
Jennifer Esther Gonzalez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12701 Us 70w Business, Clayton, NC 27520 Phone: 919-235-1968
Faben Mulate Ali, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11911 Us 70 Hwy W, Clayton, NC 27520 Phone: 866-389-2727
Mr. Steven Angelos Marinos, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Regulator Dr, Clayton, NC 27520 Phone: 919-437-7077

Amber Ellis, - Medicare Nurse Practitioner in Clayton, NC