CARLA R ELLISON MS, CCC-SLP
NPI 1164633582
Speech-Language Pathologist in Evansville, IN

Active since May 25, 2007Accepts Medicare Assignment
3700 WASHINGTON AVE, EVANSVILLE, IN 47750(812) 485-5603 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carla R Ellison Ms, Ccc-slp NPPES

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

CARLA R ELLISON MS, CCC-SLP (NPI 1164633582) is an individual speech-language pathologist provider in Evansville, Indiana, licensed in Indiana (22002801A) and active in the NPI registry since May 2007. She is a graduate of Other (1994).

NPPES Registry Identity

NPI1164633582
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameCARLA R ELLISONCredential: MS, CCC-SLP
Location Address3700 WASHINGTON AVEEvansville, IN 47750-0001
Mailing Address3700 Washington AveEvansville, IN 47750-0001 · (812) 485-5603
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMay 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164633582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IN · 22002801A
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3700 WASHINGTON AVE, Evansville, IN 47750

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

Carla R Ellison Ms, Ccc-slp 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 ID8628570975
PECOS Enrollment IDI20250905001945

Medicare Billing Reassignment

Medicare enrollment records show Carla Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
343 E 90TH DR
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 213 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.

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.

Anesthesiology
3700 WASHINGTON AVE, ST MARYS MEDICAL CENTER ANESTHESIA DEPT
EVANSVILLE, IN 47750
Obstetrics & Gynecology (Gynecology)
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Pathology (Anatomic Pathology & Clinical Pathology)
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Speech-Language Pathologist
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Radiology (Diagnostic Radiology)
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Internal Medicine
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Pharmacist (Pharmacotherapy)
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Anesthesiology
3700 WASHINGTON AVE, ST MARYS MEDICAL CENTER ANESTHESIA DEPT
EVANSVILLE, IN 47750

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 Carla Ellison's NPI number?

The NPI number for Carla Ellison is 1164633582. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Where is Carla Ellison located?

Carla Ellison practices at 3700 Washington Ave, Evansville, IN 47750. The listed phone number is (812) 485-5603.

What is Carla Ellison's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Carla Ellison enrolled in Medicare?

Yes. Carla Ellison 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 organization bills Medicare for Carla Ellison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carla Ellison reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Merrillville, IN). The 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 Carla Ellison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carla Ellison was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.