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SHANNON MARIE ELLIS
NPI 1215638622
Social Worker in Indianapolis, IN

Active since March 13, 2023PECOS Enrolled
2814 AMHERST ST, INDIANAPOLIS, IN 46268(317) 914-3408 Get Directions Write a Review

NPPES record last updated: March 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Marie Ellis NPPES

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

SHANNON MARIE ELLIS (NPI 1215638622) is an individual social worker in Indianapolis, Indiana, licensed in Indiana (33009349A) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215638622
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameSHANNON MARIE ELLIS
Location Address2814 AMHERST STIndianapolis, IN 46268-1266
Mailing Address2814 Amherst StIndianapolis, IN 46268-1266 · (317) 914-3408
Phone(317) 914-3408
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 13, 2023
NPPES CertifiedMarch 13, 2023
✔ NPI 1215638622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IN · 33009349A
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
2814 AMHERST ST, Indianapolis, IN 46268
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Marie Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183126733
PECOS Enrollment IDI20250904001419
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.

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 Shannon Ellis's NPI number?

The NPI number for Shannon Ellis is 1215638622. It was assigned to this individual provider in the NPPES registry on March 13, 2023.

Where is Shannon Ellis located?

Shannon Ellis practices at 2814 Amherst St, Indianapolis, IN 46268. The listed phone number is (317) 914-3408.

What is Shannon Ellis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Shannon Ellis enrolled in Medicare?

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

What insurance does Shannon Ellis accept?

Health plans from UnitedHealthcare list Shannon 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 Shannon Ellis was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.