KELLEY D ELLIS RNFA, CNOR
NPI 1073622858
Registered Nurse - Medical-Surgical in Fort Worth, TX
NPI Status: Active since August 29, 2006
Contact Information
1900 MISTLETOE BLVD STE 200
FORT WORTH, TX
ZIP 76104
Phone: (817) 878-5333
Fax: (817) 878-5334
- Individual
- Female
- Registered Nurse
- Medical-Surgical
About KELLEY ELLIS
This page provides the complete NPI Profile along with additional information for Kelley Ellis, a provider established in Fort Worth, Texas with a medical specialization in Registered Nurse, focusing in medical-surgical . The healthcare provider is registered in the NPI registry with number 1073622858 assigned on August 2006. The practitioner's primary taxonomy code is 163WM0705X with license number 551667 (TX). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1073622858
- Provider Name
- KELLEY D ELLIS RNFA, CNOR
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1900 MISTLETOE BLVD STE 200 FORT WORTH, TX 76104
- Location Phone
- (817) 878-5333
- Location Fax
- (817) 878-5334
- Mailing Address
- 1900 MISTLETOE BLVD STE 200 FORT WORTH, TX 76104
- Mailing Phone
- (817) 878-5333
- Mailing Fax
- (817) 878-5334
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-29-2006
- Last Update Date
- 02-04-2019
- Code Navigator
A registered nurse (RN) like Kelley Ellis coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Registered Nurse Medical-Surgical
- Taxonomy Code
- 163WM0705X
- Type
- Nursing Service Providers
- License No.
- 551667
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0672032 | OTHER (01) | TX | CIGNA |
| 89N921 | OTHER (01) | TX | BCBS OF TX |
| 7521427 | OTHER (01) | TX | AETNA |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073622858, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
FORT WORTH, TX 76104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073622858, enumerated as an "individual" on August 29, 2006.
The provider is located at 1900 MISTLETOE BLVD STE 200 FORT WORTH, TX 76104 and the phone number is (817) 878-5333.
Registered Nurse with taxonomy code 163WM0705X and a focus in Medical-Surgical.
The provider might be accepting Accepts: Cigna, Medicare, Medicaid, Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
