MS. BEVERLY DAWN ELLIS APRN
NPI 1124488903
Nurse Practitioner - Family in Jackson, KY

Q: What is Beverly Ellis's NPI number?

The NPI number for Beverly Ellis is 1124488903. It was assigned to this individual provider in the NPPES registry on March 7, 2016.

Q: What is Beverly Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Beverly Ellis was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 07, 2016PECOS Enrolled

1484 LAKESIDE DRIVE, JACKSON, KY 41339(606) 666-9950(606) 666-9136 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2022, Aug 16, 2021, Mar 12, 2020 (3 updates tracked since 2020).

On this page

About Ms. Beverly Dawn Ellis Aprn NPPES

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

MS. BEVERLY DAWN ELLIS APRN (NPI 1124488903) is an individual family provider in Jackson, Kentucky, licensed in Kentucky (3010157) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1124488903

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. BEVERLY DAWN ELLISCredential: APRN

Location Address1484 LAKESIDE DRIVEJackson, KY 41339-6555

Mailing AddressPo Box 690Beattyville, KY 41311-0690 · (606) 464-0151 · Fax (606) 464-0152

Phone(606) 666-9950

Fax(606) 666-9136

Sole ProprietorNo

Enumeration DateMarch 7, 2016

Last NPPES UpdateMay 4, 20223 updates tracked since enumeration

NPPES CertifiedMay 4, 2022

✔ NPI 1124488903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3010157

1484 LAKESIDE DRIVE, Jackson, KY 41339

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1308 N KY 7Sandy Hook, KY 41171-7134 · Phone (606) 738-9785 · Fax (859) 317-2148

Location 2202 Plummer StCampton, KY 41301-9381 · Phone (606) 668-7385 · Fax (606) 668-7009

Location 31219 W Main StWest Liberty, KY 41472-2161 · Phone (606) 743-4808 · Fax (606) 743-4716

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Beverly Dawn Ellis Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 41339 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers13 claims31 services$6.34 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$200.12 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers14 claims14 services$17.25 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

REBECCA K SMITH LCSW

Social Worker (Clinical)

1484 LAKESIDE DRIVE
JACKSON, KY 41339

Breathitt County (606) 666-9950

DR. DERRICK JACK HAMILTON D.O.

Internal Medicine

1484 LAKESIDE DRIVE
JACKSON, KY 41339

Breathitt County (606) 666-9950

MS. BRIDGET CHRISTINA TURNER LCSW

Social Worker (Clinical)

1484 LAKESIDE DRIVE
JACKSON, KY 41339

Breathitt County (606) 666-9950

DR. ROGER CARL WORTHINGTON D.M.D.

Dentist (General Practice)

1484 LAKESIDE DRIVE, DENTAL SUITE
JACKSON, KY 41339

Breathitt County (606) 666-9950

JUNIPER HEALTH INC

Clinic/Center (Federally Qualified Health Center (FQHC))

1484 LAKESIDE DRIVE
JACKSON, KY 41339

Breathitt County (606) 666-9950

DR. KIMERLI PLUMB-MOORE M.D.

Pediatrics

1484 LAKESIDE DRIVE
JACKSON, KY 41339

Breathitt County (606) 666-9950

ALLISON MICHELLE MANNING APRN, NP-C

Nurse Practitioner (Family)

1484 LAKESIDE DRIVE
JACKSON, KY 41339

Breathitt County (606) 666-9950

DR. BRITTANY MOORE FUGATE D.O.

Internal Medicine

1484 LAKESIDE DRIVE
JACKSON, KY 41339

Breathitt County (606) 666-9950

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 Beverly Ellis's NPI number?

The NPI number for Beverly Ellis is 1124488903. It was assigned to this individual provider in the NPPES registry on March 7, 2016.

Where is Beverly Ellis located?

Beverly Ellis practices at 1484 Lakeside Drive, Jackson, KY 41339. The listed phone number is (606) 666-9950.

What is Beverly Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Beverly Ellis enrolled in Medicare?

Yes. Beverly Ellis is registered in the Medicare PECOS enrollment system.

What insurance does Beverly Ellis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Beverly 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 Beverly Ellis was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.