MATTHEW ELLAM CNP
NPI 1083006696
Nurse Practitioner - Psychiatric/Mental Health in Brookline, MA

Active since February 19, 2015PECOS EnrolledAccepts Medicare Assignment
1330 BEACON ST STE 202, BROOKLINE, MA 02446(617) 354-4450 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2021, Nov 17, 2020, Sep 30, 2016 and 1 more (4 updates tracked since 2015).

About Matthew Ellam Cnp NPPES

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

MATTHEW ELLAM CNP (NPI 1083006696) is an individual psychiatric/mental health provider in Brookline, Massachusetts, licensed in Massachusetts (RN2295977) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1083006696
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMATTHEW ELLAMCredential: CNP
Location Address1330 BEACON ST STE 202Brookline, MA 02446-3202
Mailing Address6 Liberty Sq # 96730Boston, MA 02109-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 19, 2015
Last NPPES UpdateMarch 5, 20214 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1083006696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN2295977
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2295977 (MA)
1330 BEACON ST STE 202, Brookline, MA 02446

Secondary Practice Location 1

Location 16 Liberty Sq # 96730Boston, MA 02109-5800 · Phone (617) 286-6764

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

Matthew Ellam Cnp 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 ID7012299522
PECOS Enrollment IDI20170118000782
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 02446 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 5

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

Nurse Practitioner (Psychiatric/Mental Health)
1330 BEACON ST STE 202
BROOKLINE, MA 02446
Counselor (Mental Health)
1330 BEACON ST STE 202
BROOKLINE, MA 02446
Psychologist (Counseling)
1330 BEACON ST STE 202
BROOKLINE, MA 02446
Social Worker (Clinical)
1330 BEACON ST STE 202
BROOKLINE, MA 02446
Counselor (Mental Health)
1330 BEACON ST STE 202
BROOKLINE, MA 02446

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 Matthew Ellam's NPI number?

The NPI number for Matthew Ellam is 1083006696. It was assigned to this individual provider in the NPPES registry on February 19, 2015.

Where is Matthew Ellam located?

Matthew Ellam practices at 1330 Beacon St Ste 202, Brookline, MA 02446. The listed phone number is (617) 354-4450.

What is Matthew Ellam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Matthew Ellam enrolled in Medicare?

Yes. Matthew Ellam 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 Matthew Ellam accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Matthew Ellam 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 Matthew Ellam was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.