DR. MARK GREGORY ELLIS MD
NPI 1003812744
Pediatrics in Eureka, CA

Q: What is Mark Ellis's NPI number?

The NPI number for Mark Ellis is 1003812744. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Q: What is Mark Ellis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Ellis was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 27, 2005PECOS Enrolled

2200 TYDD ST, EUREKA, CA 95501(707) 269-7051(707) 269-7054 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Mar 7, 2018, Dec 15, 2017 (3 updates tracked since 2017).

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About Dr. Mark Gregory Ellis Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK GREGORY ELLIS MD (NPI 1003812744) is an individual pediatrics provider in Eureka, California, licensed in California (G65432) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Eureka.

NPPES Registry Identity

NPI1003812744

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. MARK GREGORY ELLISCredential: MD

Location Address2200 TYDD STEureka, CA 95501-1284

Mailing Address670 9th St Ste 203Arcata, CA 95521-6249 · (707) 826-8633 · Fax (707) 826-8638

Phone(707) 269-7051

Fax(707) 269-7054

Sole ProprietorNo

Enumeration DateJune 27, 2005

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1003812744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G65432

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2200 TYDD ST, Eureka, CA 95501

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Secondary Practice Location 1

Location 12800 Harris StEureka, CA 95503-4809 · Phone (707) 445-8416 · Fax (707) 445-4182

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Gregory Ellis Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEBBRA MELODY HAVEN PSYD PHD

Psychologist

2200 TYDD ST
EUREKA, CA 95501

Humboldt County (707) 441-1624

BRANDON EDWARD TOMLIN LCSW

Social Worker (Clinical)

2200 TYDD ST
EUREKA, CA 95501

Humboldt County (707) 441-1624

PENNY POWERS RN

Registered Nurse

2200 TYDD ST
EUREKA, CA 95501

Humboldt County (707) 441-1624

ANGELO JOHN ALFANO FNP

Nurse Practitioner (Family)

2200 TYDD ST
EUREKA, CA 95501

Humboldt County (707) 441-1624

MS. SUZANNE DIETZ PNP

Nurse Practitioner

2200 TYDD ST
EUREKA, CA 95501

Humboldt County (707) 269-7051

DR. PIPPA ELAYNE COULTER MD, PHD

Pediatrics

2200 TYDD ST
EUREKA, CA 95501

Humboldt County (707) 269-7051

CELESTE MAXINE SAYLES-CROY DO

Internal Medicine (Geriatric Medicine)

2200 TYDD ST
EUREKA, CA 95501

Humboldt County (707) 441-1624

LILIA SANDLER

Registered Nurse

2200 TYDD ST
EUREKA, CA 95501

Humboldt County (707) 441-1624

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Ellis's NPI number?

The NPI number for Mark Ellis is 1003812744. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Mark Ellis located?

Mark Ellis practices at 2200 Tydd St, Eureka, CA 95501. The listed phone number is (707) 269-7051.

What is Mark Ellis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mark Ellis enrolled in Medicare?

Yes. Mark Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Ellis was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.