Lawanda Nicole Ellis, FNP in Taylorsville, MS

Lawanda Nicole Ellis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Taylorsville, Mississippi. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Health Center, Inc and her current practice location is 531 Ms-23, Taylorsville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 785-9580.

Lawanda Nicole Ellis is licensed to practice in Mississippi (license number 901770) 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 1518571900.

Contact Information

	Lawanda Nicole Ellis, FNP
	531 Ms-23, Taylorsville, MS 39168
	(601) 785-9580
	Not Available

Map and Direction

Provider's Profile

Full Name	Lawanda Nicole Ellis
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	531 Ms-23, Taylorsville, Mississippi
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:

Lawanda Nicole Ellis graduated from nursing school in 2020

NPI Data:

NPI Number: 1518571900
Provider Enumeration Date: 09/02/2020
Last Update Date: 05/28/2026

Medicare PECOS Information:

PECOS PAC ID: 5799183489
Enrollment ID: I20211011001972

Medical Identifiers

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

Identifier	Type	State	Issuer
1518571900	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	901770 (Mississippi)	Primary
390200000X	Student In An Organized Health Care Education/training Program	901770 (Mississippi)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Central Reg Med Ctr	Laurel, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Health Center, Inc	9638163348	8

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. Lawanda Nicole Ellis allows following entities to bill medicare on her behalf.

Entity Name	Family Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760488357 PECOS PAC ID: 9638163348 Enrollment ID: O20040414000267

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. Lawanda Nicole 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
Lawanda Nicole Ellis, FNP 531 Ms-28, Taylorsville, MS 39168-5791 Ph: (601) 785-9580	Lawanda Nicole Ellis, FNP 531 Ms-23, Taylorsville, MS 39168 Ph: (601) 785-9580

Reviews and Comments

Nurse Practitioner Nurses in Taylorsville, MS

Ms. Sharon L Scruggs, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Eureka Street, Taylorsville, MS 39168 Phone: 601-785-4322 Fax: 601-785-6881
Patricia Bullock, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Pine St, Taylorsville, MS 39168 Phone: 601-452-7080 Fax: 601-452-7083
Mr. Mark Waylon Scruggs, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 336 Eureka Street, Taylorsville, MS 39168 Phone: 601-785-4322 Fax: 866-404-2914
Mrs. Carolyn Ann Schrader, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 Willis Street, Suite 2, Taylorsville, MS 39168 Phone: 601-785-9580 Fax: 601-785-9910

Lawanda Nicole Ellis, FNP - Medicare Nurse Practitioner in Taylorsville, MS