MS. ELLEN E RATCLIFFE DNP
NPI 1164729026
Nurse Practitioner - Acute Care in Lexington, KY

Active since February 11, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
740 S LIMESTONE ST, LEXINGTON, KY 40536(859) 323-5045(859) 257-2418 Get Directions Write a Review

NPPES record last updated: March 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Ellen E Ratcliffe Dnp NPPES

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

MS. ELLEN E RATCLIFFE DNP (NPI 1164729026) is an individual acute care provider in Lexington, Kentucky, licensed in Kentucky (3003476) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1164729026
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. ELLEN E RATCLIFFECredential: DNP
Location Address740 S LIMESTONE STLexington, KY 40536-0001
Mailing Address165 Yamacraw PlLexington, KY 40511-8839 · (859) 509-4166
Fax(859) 257-2418
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 11, 2011
Last NPPES UpdateMarch 30, 2018
NPI 1164729026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in KY · 3003476
740 S LIMESTONE ST, Lexington, KY 40536

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

Ms. Ellen E Ratcliffe Dnp 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 ID244417822
PECOS Enrollment IDI20110608000161
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number510007
Location2900 1st AvenueHuntington, WV 25702 · Cabell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims660 services$1.68 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier11 claims2,910 services$1.09 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers29 claims3,418 services$0.29 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers48 claims48 services$18.53 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers32 claims37 services$12.29 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 20

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

Nurse Practitioner (Family)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Internal Medicine (Endocrinology, Diabetes & Metabolism)
740 S LIMESTONE ST, ENDOCRINE CLINIC, 2ND FLOOR, WING C
LEXINGTON, KY 40536
Audiologist
740 S LIMESTONE ST, SUITE B317
LEXINGTON, KY 40536
Physician Assistant (Medical)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Psychiatry & Neurology (Neurology)
740 S LIMESTONE ST, J401
LEXINGTON, KY 40536
Pediatrics (Pediatric Cardiology)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Nurse Practitioner (Acute Care)
740 S LIMESTONE ST
LEXINGTON, KY 40536
Pediatrics (Pediatric Endocrinology)
740 S LIMESTONE ST
LEXINGTON, KY 40536

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 Ellen Ratcliffe's NPI number?

The NPI number for Ellen Ratcliffe is 1164729026. It was assigned to this individual provider in the NPPES registry on February 11, 2011.

Where is Ellen Ratcliffe located?

Ellen Ratcliffe practices at 740 S Limestone St, Lexington, KY 40536. The listed phone number is (859) 323-5045.

What is Ellen Ratcliffe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Ellen Ratcliffe enrolled in Medicare?

Yes. Ellen Ratcliffe 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.

Is Ellen Ratcliffe affiliated with any hospitals?

According to CMS data, Ellen Ratcliffe is affiliated with Ephraim Mcdowell Regional Medical Center, University Of Kentucky Hospital and St Mary's Medical Center.

When was this NPI record last updated?

The NPPES record for Ellen Ratcliffe was last updated on March 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.