CHARLI ELLIS DO
NPI 1114239316
Psychiatry & Neurology - Psychiatry in Syracuse, NY
About Charli Ellis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLI ELLIS DO (NPI 1114239316) is an individual psychiatry provider in Syracuse, New York, licensed in New York (316745) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charli Ellis Do 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.
Medicare Billing Reassignments
5Medicare enrollment records show Charli Ellis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 clinicians in this Medicare group
New York, NY 10001
- Reassigned Medicare billing, North Carolina, New York and Texas enrollments
- 16 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 2,223 clinicians in this Medicare group
Jacksonville, FL 32207
- Reassigned Medicare billing, North Carolina and Texas enrollments
- 68 clinicians in this Medicare group
Heath, TX 75032
- Reassigned Medicare billing, Texas enrollment
- 3,167 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baylor University Medical Center
Acute Care Hospitals · Dallas, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SYRACUSE, NY 13203
SYRACUSE, NY 13203
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 Charli Ellis's NPI number?
The NPI number for Charli Ellis is 1114239316. It was assigned to this individual provider in the NPPES registry on July 6, 2010.
Where is Charli Ellis located?
Charli Ellis practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 726-8610.
What is Charli Ellis's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Charli Ellis enrolled in Medicare?
Yes. Charli Ellis 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.
Which organizations bill Medicare for Charli Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charli Ellis reassigns Medicare benefits to 5 organizations: St Josephs Hospital Health Center (Syracuse, NY), Mccd Psychiatry Services PLLC (New York, NY), Carolinas Medical Center (Concord, NC), Mccd Fl Psychiatry Services PA (Jacksonville, FL) and Healthtexas Provider Network (Heath, TX). Each 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 Charli Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charli Ellis accept?
Health plans from Baylor Scott and White Health Plan and Cigna Healthcare list Charli 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.
Is Charli Ellis affiliated with any hospitals?
According to CMS data, Charli Ellis is affiliated with Baylor University Medical Center.
When was this NPI record last updated?
The NPPES record for Charli Ellis was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Charli Ellis, DO · NPI 1114239316
Psychiatry physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since July 6, 2010.
## Identity
- **NPI:** 1114239316 (Entity type: Individual)
- **Enumerated:** July 6, 2010
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 316745 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 PROSPECT AVE, Syracuse, NY 13203-1807
- **Phone:** (315) 726-8610
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY); Mccd Psychiatry Services PLLC (NPI 1033750823, New York, NY); Carolinas Medical Center (NPI 1467790055, Concord, NC); Mccd Fl Psychiatry Services PA (NPI 1659003457, Jacksonville, FL); Healthtexas Provider Network (NPI 1538164116, Heath, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Texas Hsc, College Of Osteopathic Med, class of 2010
## Record status
- **NPPES last updated:** July 26, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1114239316) · Data from the CMS NPPES public registry.