MS. KERRI A ELLIS NP NPI 1003913567

NPI Information

  • NPI: 1003913567
  • Provider Name: MS. KERRI A ELLIS, NP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 76 FOLLETTE ST
    GRAFTON, MA
    ZIP 01519
  • Phone: (508) 954-7420

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NPI Details

MS. Kerri A Ellis, NP is a psychiatric/mental health nurse practitioner in Grafton, MA. MS. Kerri A Ellis, NP NPI is 1003913567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

76 FOLLETTE ST
GRAFTON, MA
ZIP 01519-022
Phone: (508) 954-7420
Fax: (508) 529-7024

The NPI 1003913567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/19/2006 and was last updated on 12/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner233757MASSACHUSETTSNo
2363LA2100XNurse PractitionerAcute Care233757MASSACHUSETTSNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health233757MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1110073123AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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