MRS. KYNDRA LENEE ELLIS RN, NNP
NPI 1043477078
Nurse Practitioner - Neonatal in Stockbridge, GA

Q: What is Kyndra Ellis's NPI number?

The NPI number for Kyndra Ellis is 1043477078. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Q: What is Kyndra Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Q: When was this NPI record last updated?

The NPPES record for Kyndra Ellis was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 May 19, 2008PECOS Enrolled

443 GRESHAM DR, STOCKBRIDGE, GA 30281(678) 756-1465(678) 756-1465 Get Directions Write a Review

NPPES record last updated: October 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Kyndra Lenee Ellis Rn, Nnp NPPES

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

MRS. KYNDRA LENEE ELLIS RN, NNP (NPI 1043477078) is an individual neonatal provider in Stockbridge, Georgia, licensed in Georgia (RN154735) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043477078

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMRS. KYNDRA LENEE ELLISCredential: RN, NNP

Location Address443 GRESHAM DRStockbridge, GA 30281-7716

Mailing Address443 Gresham DrStockbridge, GA 30281-7716 · (678) 756-1465 · Fax (678) 756-1465

Phone(678) 756-1465

Fax(678) 756-1465

Sole ProprietorYes

Enumeration DateMay 19, 2008

Last NPPES UpdateOctober 31, 2016

✔ NPI 1043477078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in GA · RN154735

Also ListedRegistered NurseTaxonomy 163W00000X · License 154735 (GA)

443 GRESHAM DR, Stockbridge, GA 30281

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kyndra Lenee Ellis Rn, Nnp 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 30281 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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 Kyndra Ellis's NPI number?

The NPI number for Kyndra Ellis is 1043477078. It was assigned to this individual provider in the NPPES registry on May 19, 2008.

Where is Kyndra Ellis located?

Kyndra Ellis practices at 443 Gresham Dr, Stockbridge, GA 30281. The listed phone number is (678) 756-1465.

What is Kyndra Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Kyndra Ellis enrolled in Medicare?

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

What insurance does Kyndra Ellis accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kyndra Ellis 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.

When was this NPI record last updated?

The NPPES record for Kyndra Ellis was last updated on October 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.