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ELLEN LY NP
NPI 1215539820
Nurse Practitioner in Arcadia, CA

Active since November 10, 2020PECOS EnrolledAccepts Medicare Assignment
289 W HUNTINGTON DR STE 401, ARCADIA, CA 91007(626) 254-0074(626) 254-0240 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2021, Nov 10, 2020 (2 updates tracked since 2020).

About Ellen Ly Np NPPES

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

ELLEN LY NP (NPI 1215539820) is an individual nurse practitioner in Arcadia, California, licensed in California (2020115166) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1215539820
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELLEN LYCredential: NP
Location Address289 W HUNTINGTON DR STE 401Arcadia, CA 91007-3493
Mailing Address3452 E Foothill Blvd Ste 130Pasadena, CA 91107-6006 · (626) 793-2885 · Fax (626) 793-6262
Phone(626) 254-0074
Fax(626) 254-0240
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 10, 2020
Last NPPES UpdateJanuary 5, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2021
✔ NPI 1215539820 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 CA · 2020115166
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.
289 W HUNTINGTON DR STE 401, Arcadia, CA 91007
Open in Google Maps ↗

Other Identifiers 2

Other95016212CA · Nurse Practitioner
Other2020115166CA · American Nurses Credentialing Center

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

Ellen Ly Np 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 ID3274071485
PECOS Enrollment IDI20240820000906
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 91007 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Other Providers at the Same Location NPPES 7

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

MS. AMY CHAO NP
Nurse Practitioner (Acute Care)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Los Angeles County (626) 254-0074
MS. TARA M ABBONDANZA NP
Nurse Practitioner
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Los Angeles County (626) 254-0074
MISS PRIYA BANSAL M.D.
Internal Medicine (Interventional Cardiology)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Los Angeles County (626) 254-0074
DR. TERRENCE BARUCH M.D.
Internal Medicine (Cardiovascular Disease)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Los Angeles County (626) 254-0074
VICTOR A. GABRIELIAN M.D.
Nuclear Medicine (Nuclear Cardiology)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Los Angeles County (626) 915-4700
DR. JESUS VAZQUEZ M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Los Angeles County (626) 254-0074
DR. JAIME O HENRIQUEZ MD
Internal Medicine (Interventional Cardiology)
289 W HUNTINGTON DR STE 401
ARCADIA, CA 91007
Los Angeles County (626) 254-0074

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 Ly's NPI number?

The NPI number for Ellen Ly is 1215539820. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Ellen Ly located?

Ellen Ly practices at 289 W Huntington Dr Ste 401, Arcadia, CA 91007. The listed phone number is (626) 254-0074.

What is Ellen Ly's specialty?

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

Is Ellen Ly enrolled in Medicare?

Yes. Ellen Ly 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.

When was this NPI record last updated?

The NPPES record for Ellen Ly was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.