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MADELYNE ELLIS FNP
NPI 1205655594
Nurse Practitioner in Friendship, TN

Active since October 04, 2024PECOS EnrolledAccepts Medicare Assignment
1159 WALTER TAYLOR RD, FRIENDSHIP, TN 38034(931) 787-4062 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madelyne Ellis Fnp NPPES

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

MADELYNE ELLIS FNP (NPI 1205655594) is an individual nurse practitioner in Friendship, Tennessee, licensed in Tennessee (35673) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205655594
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADELYNE ELLISCredential: FNP
Location Address1159 WALTER TAYLOR RDFriendship, TN 38034-3449
Mailing Address60 Physicians LnSouthaven, MS 38671-6122
Phone(931) 787-4062
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 4, 2024
NPPES CertifiedOctober 4, 2024
✔ NPI 1205655594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in TN · 35673
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1159 WALTER TAYLOR RD, Friendship, TN 38034
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

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

Madelyne Ellis Fnp 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 ID6406381599
PECOS Enrollment IDI20241126003129
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.

Hospital Affiliations CMS Care Compare 3

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Lauderdale Community Hospital

Critical Access Hospitals · Ripley, TN
OwnershipProprietary
CMS Certification Number441314
Location340 Asbury AvenueRipley, TN 38063 · Lauderdale County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38034 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 Madelyne Ellis's NPI number?

The NPI number for Madelyne Ellis is 1205655594. It was assigned to this individual provider in the NPPES registry on October 4, 2024.

Where is Madelyne Ellis located?

Madelyne Ellis practices at 1159 Walter Taylor Rd, Friendship, TN 38034. The listed phone number is (931) 787-4062.

What is Madelyne Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madelyne Ellis enrolled in Medicare?

Yes. Madelyne Ellis 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.

What insurance does Madelyne Ellis accept?

Health plans from BlueCross BlueShield of Tennessee list Madelyne 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.

Is Madelyne Ellis affiliated with any hospitals?

According to CMS data, Madelyne Ellis is affiliated with Jackson-Madison County General Hospital, Baptist Memorial Hospital Union City and Lauderdale Community Hospital.

When was this NPI record last updated?

The NPPES record for Madelyne Ellis was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.