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CAROL A ELLIS NPC NPI 1194919647


NPI Information

NPI: 1194919647
Provider Name: CAROL A ELLIS, NPC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: CATALYST MEDICAL GROUP, PLLC

PECOS Registration: Yes

Address:
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1383
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Carol A Ellis, NPC is an adult health nurse practitioner in Lewiston, ID with 17 years of experience. Carol A Ellis, NPC NPI is 1194919647. 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:

2315 8TH ST
LEWISTON, ID
ZIP 83501-301
Phone: (208) 746-1383
Fax: (208) 746-6348

The NPI 1194919647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • Hemoglobin A1C level (HCPCS:83036)
  • Automated urinalysis test (HCPCS:81003)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)

The enumeration date for this NPI number is 8/28/2007 and was last updated on 3/8/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse PractitionerAP30007996WASHINGTONNo
2363LA2200XNurse PractitionerAdult HealthNP-825AIDAHOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10226013OTHERWASHINGTONLABOR & INDUSTRIES
21341036MEDICARE PINIDAHO
3807875800MEDICAIDIDAHO
4807875800OTHERIDAHOHEATHLY CONNECTIONS
5000010005325OTHERIDAHOREGENCE BLUESHIELD
6NPZA5OTHERIDAHOBLUE CROSS
79654294MEDICAIDWASHINGTON
8G8914605MEDICARE PINWASHINGTON
91341036OTHERDMERC

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.