Ms Katherine S Ellis, APN - Medicare Nurse Practitioner in Ridgewood, NJ

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Ms Katherine S Ellis, APN is a medicare enrolled "Nurse Practitioner - Primary Care" in Ridgewood, New Jersey. She went to Emory University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 223 N Van Dien Ave, Ridgewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 447-8345.

Ms Katherine S Ellis is licensed to practice in New Jersey (license number 26NJ15387600) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1275410151.

Contact Information

Ms Katherine S Ellis, APN
223 N Van Dien Ave,
Ridgewood, NJ 07450-2726
(201) 447-8345
Not Available

Map and Direction




Provider's Profile

Full NameMs Katherine S Ellis
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location223 N Van Dien Ave, Ridgewood, New Jersey
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Katherine S Ellis attended and graduated from Emory University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1275410151
  • Provider Enumeration Date: 08/20/2025
  • Last Update Date: 08/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244701027
  • Enrollment ID: I20260602003351

Medical Identifiers

Medical identifiers for Ms Katherine S Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275410151NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 26NJ15387600 (New Jersey)Primary

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. Ms Katherine S Ellis allows following entities to bill medicare on her behalf.
Entity NameHackensack Surgery and Wound Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326640806
PECOS PAC ID: 3779974274
Enrollment ID: O20211216001852

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. Ms Katherine S 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
Ms Katherine S Ellis, APN
279 Vreeland Ave,
Midland Park, NJ 07432-1661

Ph: (201) 931-5939		Ms Katherine S Ellis, APN
223 N Van Dien Ave,
Ridgewood, NJ 07450-2726

Ph: (201) 447-8345

Reviews and Comments


Nurse Practitioner Nurses in Ridgewood, NJ

Jennifer Polizzano, APN-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8345    Fax: 201-447-8103
Kelly Rumler, APN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8000    
Samantha Leigh Guillod, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8000    
Susan Bell,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 505 Goffle Rd, Ridgewood, NJ 07450
Phone: 201-612-1006    Fax: 201-612-1091
Kimberly Michele Pryslak, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8000    
Carly Samantha Fried, MSN, CPNP-AC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1200 E Ridgewood Ave Ste 208, Ridgewood, NJ 07450
Phone: 908-616-0871    
Mary Catherine Collins, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 223 N Van Dien Ave, Ridgewood, NJ 07450
Phone: 201-447-8371    

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.