MRS. DEBBIE-ANN KATHEEN ELLINGTON-TULLOCH APRN
NPI 1083036313
Nurse Practitioner - Adult Health in Shirley, NY

Q: What is Debbie-ann Ellington-tulloch's NPI number?

The NPI number for Debbie-ann Ellington-tulloch is 1083036313. It was assigned to this individual provider in the NPPES registry on January 6, 2014.

Q: What is Debbie-ann Ellington-tulloch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Active since January 06, 2014PECOS Enrolled

550 MONTAUK HWY, SHIRLEY, NY 11967(631) 490-3040 Get Directions Write a Review

NPPES record last updated: September 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 30, 2020, Dec 20, 2018 (2 updates tracked since 2018).

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About Mrs. Debbie-ann Katheen Ellington-tulloch Aprn NPPES

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

MRS. DEBBIE-ANN KATHEEN ELLINGTON-TULLOCH APRN (NPI 1083036313) is an individual adult health provider in Shirley, New York, licensed in Connecticut (005626) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Plainville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1083036313

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. DEBBIE-ANN KATHEEN ELLINGTON-TULLOCHCredential: APRN

Location Address550 MONTAUK HWYShirley, NY 11967-2114

Mailing Address550 Montauk HwyShirley, NY 11967-2114 · (631) 490-3040 · Fax (631) 490-3055

Phone(631) 490-3040

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJanuary 6, 2014

Last NPPES UpdateSeptember 30, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2020

✔ NPI 1083036313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CT · 005626

550 MONTAUK HWY, Shirley, NY 11967

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Secondary Practice Location 1

Location 191 Northwestern DrPlainville, CT 06062 · Phone (888) 793-3500 · Fax (860) 793-3520

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Debbie-ann Katheen Ellington-tulloch Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426280579

PECOS Enrollment IDI20190307000840, I20260512003426

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.

Medicare Billing Reassignments

Medicare enrollment records show Debbie-ann Ellington-tulloch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Housing Works Health Services III, Inc.

53 mi

Federally Qualified Health Center (FQHC)

2640 PITKIN AVE
Brooklyn, NY 11208

Reassigned Medicare billing, New York enrollment
35 clinicians in this Medicare group

NPI 1114950151 (718) 827-8700

Sun River Health Inc

54 mi

Adult Day Care

1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452

Reassigned Medicare billing, New York enrollment
683 clinicians in this Medicare group

NPI 1740763275 (855) 681-8700

Boulder Care Provider Group PA

2,497 mi

Addiction Medicine

111 SW NAITO PKWY STE 200
Portland, OR 97204

Reassigned Medicare billing, Ohio enrollment
162 clinicians in this Medicare group

NPI 1649838590 (888) 316-0451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11967 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 20

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

AIMEE B MEYER LCSW

Social Worker (Clinical)