NICOLE M ELLISON M.D.
NPI 1013013721
Family Medicine in Woodville, TX

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
1100 W BLUFF ST, WOODVILLE, TX 75979(409) 283-8141 Get Directions Write a Review

NPPES record last updated: August 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole M Ellison M.d. NPPES

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

NICOLE M ELLISON M.D. (NPI 1013013721) is an individual family medicine provider in Woodville, Texas, licensed in Texas (N2485) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Hca Florida South Shore Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1013013721
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE M ELLISONCredential: M.D.
Location Address1100 W BLUFF STWoodville, TX 75979-4738
Mailing Address46 Sandwell PlSpring, TX 77389-2038 · (501) 837-3680
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 13, 2019
NPI 1013013721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · N2485 Licensed in FL · ME81826
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 W BLUFF ST, Woodville, TX 75979

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole M Ellison M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103978069
PECOS Enrollment IDI20090723000576, I20260108000266
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
128 services121 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
116 services106 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services14 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida South Shore Hospital

Acute Care Hospitals · Sun City Center, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100259
Location4016 Sun City Center BlvdSun City Center, FL 33573 · Hillsborough County
Emergency services

Tyler County Hospital

Acute Care Hospitals · Woodville, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450460
Location1100 West BluffWoodville, TX 75979 · Tyler County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75979 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%28 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Hospitalist
1100 W BLUFF ST
WOODVILLE, TX 75979
Clinic/Center (Hearing and Speech)
1100 W BLUFF ST
WOODVILLE, TX 75979
Internal Medicine (Nephrology)
1100 W BLUFF ST, ROOM 106 & 110
WOODVILLE, TX 75979
General Acute Care Hospital
1100 W BLUFF ST
WOODVILLE, TX 75979
Emergency Medicine
1100 W BLUFF ST
WOODVILLE, TX 75979
Emergency Medicine
1100 W BLUFF ST
WOODVILLE, TX 75979
Emergency Medicine
1100 W BLUFF ST
WOODVILLE, TX 75979

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 Nicole Ellison's NPI number?

The NPI number for Nicole Ellison is 1013013721. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Nicole Ellison located?

Nicole Ellison practices at 1100 W Bluff St, Woodville, TX 75979. The listed phone number is (409) 283-8141.

What is Nicole Ellison's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Ellison enrolled in Medicare?

Yes. Nicole Ellison is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Ellison accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Nicole Ellison as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicole Ellison affiliated with any hospitals?

According to CMS data, Nicole Ellison is affiliated with Hca Florida South Shore Hospital and Tyler County Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Ellison was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.