Mr Christopher Dominick Ellis, CRNP - Medicare Nurse Practitioner in Plains, PA

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Mr Christopher Dominick Ellis, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Plains, Pennsylvania. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northeastern Pennsylvania Cardiology Associates Llp and his current practice location is 667 N River St #201, Plains, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 823-1111.

Mr Christopher Dominick Ellis is licensed to practice in Pennsylvania (license number SP023586) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366026361.

Contact Information

Mr Christopher Dominick Ellis, CRNP
667 N River St #201,
Plains, PA 18705-1870
(570) 823-1111
Not Available

Map and Direction




Provider's Profile

Full NameMr Christopher Dominick Ellis
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location667 N River St #201, Plains, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Christopher Dominick Ellis graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1366026361
  • Provider Enumeration Date: 05/06/2021
  • Last Update Date: 05/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6103226220
  • Enrollment ID: I20210611000127

Medical Identifiers

Medical identifiers for Mr Christopher Dominick Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366026361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family SP023586 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wilkes-barre General HospitalWilkes-barre, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeastern Pennsylvania Cardiology Associates Llp10523846586

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. Mr Christopher Dominick Ellis allows following entities to bill medicare on his behalf.
Entity NameNortheastern Pennsylvania Cardiology Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043351281
PECOS PAC ID: 1052384658
Enrollment ID: O20040812001261
Entity NameAdvanced Inpatient Medicine Transitional Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609247030
PECOS PAC ID: 2365742079
Enrollment ID: O20151202002396

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. Mr Christopher Dominick 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 AddressPractice Location Address
Mr Christopher Dominick Ellis, CRNP
1160 Lantern Hill Rd,
Shavertown, PA 18708-9590

Ph: (570) 606-7972		Mr Christopher Dominick Ellis, CRNP
667 N River St #201,
Plains, PA 18705-1870

Ph: (570) 823-1111

Reviews and Comments


Nurse Practitioner Nurses in Plains, PA

London Nicole Mckenna, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11 Gallagher Dr, Plains, PA 18705
Phone: 570-970-1030    Fax: 570-970-0511
Kaci Wall, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 220 S River St, Plains, PA 18705
Phone: 570-824-8151    
Mrs. Catherine Forlenza, C.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 672 N River St, Suite 111, Plains, PA 18705
Phone: 570-552-7150    Fax: 570-552-7155

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.