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BETHANY LAQUELL ELLIS FNP
NPI 1194349308
Nurse Practitioner - Family in Hallandale Beach, FL

Active since June 03, 2020PECOS Enrolled
1001 N FEDERAL HWY STE 341, HALLANDALE BEACH, FL 33009(754) 444-9173(786) 221-3179 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 22, 2021, Jan 7, 2021, Oct 15, 2020 and 2 more (5 updates tracked since 2020).

About Bethany Laquell Ellis Fnp NPPES

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

BETHANY LAQUELL ELLIS FNP (NPI 1194349308) is an individual family provider in Hallandale Beach, Florida, licensed in Florida (11007347) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194349308
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBETHANY LAQUELL ELLISCredential: FNP
Location Address1001 N FEDERAL HWY STE 341Hallandale Beach, FL 33009-2404
Mailing Address1001 N Federal Hwy Ste 341Hallandale Beach, FL 33009-2404 · (754) 444-9173 · Fax (786) 221-3179
Phone(754) 444-9173
Fax(786) 221-3179
Sole ProprietorNo
Enumeration DateJune 3, 2020
Last NPPES UpdateSeptember 22, 20215 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2021
✔ NPI 1194349308 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 FL · 11007347
1001 N FEDERAL HWY STE 341, Hallandale Beach, FL 33009
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Other Names 1

Former Name (1)Bethany Laquell Ellis

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Laquell Ellis Fnp 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 33009 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Bethany Ellis's NPI number?

The NPI number for Bethany Ellis is 1194349308. It was assigned to this individual provider in the NPPES registry on June 3, 2020. The provider is also known as Bethany Laquell Ellis.

Where is Bethany Ellis located?

Bethany Ellis practices at 1001 N Federal Hwy Ste 341, Hallandale Beach, FL 33009. The listed phone number is (754) 444-9173.

What is Bethany Ellis's specialty?

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

Is Bethany Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Bethany Ellis was last updated on September 22, 2021. 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.