PHILIP LEE ELLIS PH.D.
NPI 1073549911
Psychologist in Grand Rapids, MI
About Philip Lee Ellis Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP LEE ELLIS PH.D. (NPI 1073549911) is an individual psychologist in Grand Rapids, Michigan, licensed in Michigan (6301005230) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Philip Lee Ellis Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Philip Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Philip Ellis's NPI number?
The NPI number for Philip Ellis is 1073549911. It was assigned to this individual provider in the NPPES registry on June 23, 2006.
Where is Philip Ellis located?
Philip Ellis practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.
What is Philip Ellis's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Philip Ellis enrolled in Medicare?
Yes. Philip Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Philip Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Ellis reassigns Medicare benefits to Adaptive Counseling And Case Management, LLC (Traverse City, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Ellis accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Philip 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 Philip Ellis was last updated on September 19, 2017. 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.