| Mishell C Ellis, PMHNP | |
|
2335 Seminole Ln Ste 200, Charlottesville, VA 22901-8303 | |
| (434) 980-6161 | |
| (434) 972-4283 |
| Full Name | Mishell C Ellis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 2335 Seminole Ln Ste 200, Charlottesville, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811325764 | NPI | - | NPPES |
| RN234444 | Other | GA | STATE LICENSE |
| 0024174257 | Other | VA | VIRGINIA NURSE PRACTITIONER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024174257 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colonial Internal Medicine Associates Pc | 6608842521 | 18 |
| Riverside Physician Services Inc | 5092608448 | 793 |
| Entity Name | University of Virginia Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780 |
| Entity Name | Riverside Physician Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
| Entity Name | Colonial Internal Medicine Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346260940 PECOS PAC ID: 6608842521 Enrollment ID: O20040902000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Mishell C Ellis, PMHNP Po Box 749112, Atlanta, GA 30374-9112 Ph: Not Available | Mishell C Ellis, PMHNP 2335 Seminole Ln Ste 200, Charlottesville, VA 22901-8303 Ph: (434) 980-6161 |
Norma Branham, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2047 |
Selena M Blankenship, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Lee St, Charlottesville, VA 22908 Phone: 434-924-9333 Fax: 434-244-7526 |
Joy R Miller, PNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-2617 |
Sara M Vecchione, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2231 Fax: 434-924-9295 |
Ms. Kathy Nippers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2335 Seminole Ln Ste 200, Charlottesville, VA 22901 Phone: 434-980-6161 Fax: 434-972-4283 |
Rebecca L Hand, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-1100 |
Megan E. Kingdon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9400 Fax: 434-982-1618 |