Stephanie Ellis, MSN - Medicare Nurse Practitioner in Provo, UT

Stephanie Ellis, MSN is a medicare enrolled "Nurse Practitioner - Adult Health" in Provo, Utah. Her current practice location is 395 W Cougar Blvd Ste 104, Provo, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 357-8200.

Stephanie Ellis is licensed to practice in Utah (license number 7558496-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942958673.

Contact Information

Stephanie Ellis, MSN
395 W Cougar Blvd Ste 104,
Provo, UT 84604-3334
(801) 357-8200
(801) 357-8201

Map and Direction




Provider's Profile

Full NameStephanie Ellis
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location395 W Cougar Blvd Ste 104, Provo, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942958673
  • Provider Enumeration Date: 03/11/2022
  • Last Update Date: 03/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799162590
  • Enrollment ID: I20220517002138

Medical Identifiers

Medical identifiers for Stephanie Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942958673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 7558496-4405 (Utah)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. Stephanie Ellis allows following entities to bill medicare on her behalf.
Entity NameUtah Cancer Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619925369
PECOS PAC ID: 1355254749
Enrollment ID: O20031111000618

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. Stephanie 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
Stephanie Ellis, MSN
1121 E 3900 S Ste C230,
Salt Lake City, UT 84124-1297

Ph: (801) 262-9494
Stephanie Ellis, MSN
395 W Cougar Blvd Ste 104,
Provo, UT 84604-3334

Ph: (801) 357-8200

Reviews and Comments


Nurse Practitioner Nurses in Provo, UT

Sharla Morgan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W Ste 303, Provo, UT 84604
Phone: 801-356-1300    Fax: 801-356-1304
Ashley Saunders,
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Medicare: Medicare Enrolled
Practice Location: 1055 N 500 W Bldg A, Provo, UT 84604
Phone: 801-812-5033    Fax: 801-812-5034
Mr. Michael Frank Gibson, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 1355 North University Ave, Suite 210, Provo, UT 84604
Phone: 801-373-8930    Fax: 801-377-6811
Connie Denise Taylor, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 75 S 200 E, Ste 100, Provo, UT 84606
Phone: 801-877-5801    Fax: 801-877-5802
Jennifer Lynn Osborne, APRN, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 500 W, Suite 101, Provo, UT 84604
Phone: 801-373-4366    Fax: 801-429-8191
Amber Elexis Marsh, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 395 W Cougar Blvd, Provo, UT 84604
Phone: 801-357-7850    
Melissa Sue Guest, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 750 N Freedom Blvd, Provo, UT 84601
Phone: 801-373-4760    

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.