SHANA B ELLIS CRNP
NPI 1164938544
Nurse Practitioner - Family in Ringgold, GA
About Shana B Ellis Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANA B ELLIS CRNP (NPI 1164938544) is an individual family provider in Ringgold, Georgia, licensed in Alabama (1-145902) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shana B Ellis Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shana Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harriman, TN 37748
- Reassigned Medicare billing, Tennessee enrollment
- 52 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
RINGGOLD, GA 30736
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 Shana Ellis's NPI number?
The NPI number for Shana Ellis is 1164938544. It was assigned to this individual provider in the NPPES registry on December 20, 2017. The provider is also known as Shana M White Crnp.
Where is Shana Ellis located?
Shana Ellis practices at 4083 Cloud Springs Rd, Ringgold, GA 30736. The listed phone number is (706) 820-6143.
What is Shana Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shana Ellis enrolled in Medicare?
Yes. Shana Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shana Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shana Ellis reassigns Medicare benefits to Crossroads Treatment Centers Of Tennessee, PC (Harriman, TN). 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 Shana Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shana Ellis accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Shana 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 Shana Ellis was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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.
# Shana B Ellis, CRNP · NPI 1164938544
Family physician in Ringgold, Georgia. Individual provider, active in the CMS NPPES registry since December 20, 2017.
## Identity
- **NPI:** 1164938544 (Entity type: Individual)
- **Enumerated:** December 20, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-145902 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 4083 CLOUD SPRINGS RD, Ringgold, GA 30736-8411
- **Phone:** (706) 820-6143 · **Fax:** (706) 956-8171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Crossroads Treatment Centers Of Tennessee, PC (NPI 1316403405, Harriman, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164938544) · Data from the CMS NPPES public registry.