HOLLY MARIE ELLIS DO
NPI 1215673793
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

NPI Status: Active since May 09, 2022

Contact Information

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237
Phone: (317) 528-8921
Fax: (317) 528-6916

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  • Individual
  • Female
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About HOLLY ELLIS

This page provides the complete NPI Profile along with additional information for Holly Ellis, a primary care provider established in Indianapolis, Indiana with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1215673793 assigned on May 2022. The practitioner's primary taxonomy code is 390200000X with license number 11022582A (IN). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1215673793
Provider Name
HOLLY MARIE ELLIS DO
Gender
Female
Entity Type
Individual
Location Address
5230 E STOP 11 RD STE 250 INDIANAPOLIS, IN 46237
Location Phone
(317) 528-8921
Location Fax
(317) 528-6916
Mailing Address
PO BOX 781008 DETROIT, MI 48278
Mailing Phone
(317) 528-4800
Mailing Fax
(317) 528-6916
Is Sole Proprietor?
No
Enumeration Date
05-09-2022
Last Update Date
08-10-2022
Code Navigator

A primary care provider (PCP) like Holly Ellis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 6509 Kingsbury Way
    Zionsville, IN 46077
    (317) 408-2816

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
License No.
11022582A
License State
IN
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Holly Ellis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for HOLLY MARIE ELLIS DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215673793
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22251276718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 2 + 7 + 6 + 7 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1215673793 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

AARON FREDERICK BLAIR MD

Family Medicine

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

PRAJIN SRIVASTAV

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8136

NICOLE MARIE LAFAVE DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

TIAL TINKAI DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

LUCAS RILEY HUFFMAN DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

DR. THOMAS LAWRENCE GEILE DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8136

STACEY W LOCKARD M.D.

Family Medicine

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

DR. SAVANNAH ROWE NAUM DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

JAMES MICHAEL JENNINGS MD

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

BRITTANI M CORBISIERO D.O.

Pediatrics

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

MARK DENARDIN

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

MADISON DOLAN MD

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

COREY TOM DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

SYDNEY ULREY DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

AIDAN KOCH DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

JACOB MICHAEL HAMAKER DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

ANA GRANDINETTI MD

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

COURTNEY MICHELE YARBER DO

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

AMANDA LOUISE TURNER MD

Student in an Organized Health Care Education/Training Program

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

KRISTIN LENEE WOOD M.D.

Family Medicine

5230 E STOP 11 RD STE 250
INDIANAPOLIS, IN
ZIP 46237

(317) 528-8921

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215673793, enumerated as an "individual" on May 09, 2022.

The provider is located at 5230 E STOP 11 RD STE 250 INDIANAPOLIS, IN 46237 and the phone number is (317) 528-8921.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.