HOLLY MARIE ELLIS DO
NPI 1215673793
Student in an Organized Health Care Education/Training Program in Zionsville, IN
NPI Status: Active since May 09, 2022
Contact Information
6509 KINGSBURY WAY
ZIONSVILLE, IN
ZIP 46077
Phone: (317) 408-2816
- 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 Zionsville, 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 July 2025.
- NPI
- 1215673793
- Provider Name
- HOLLY MARIE ELLIS DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 6509 KINGSBURY WAY ZIONSVILLE, IN 46077
- Location Phone
- (317) 408-2816
- Mailing Address
- 6509 KINGSBURY WAY ZIONSVILLE, IN 46077
- Mailing Phone
- (317) 408-2816
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-09-2022
- Last Update Date
- 07-14-2025
- 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
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) |
|---|---|---|---|---|
| 1 | 390200000X | Student, 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
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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. | |||||||||
| 1 | 2 | 1 | 5 | 6 | 7 | 3 | 7 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 12 | 7 | 6 | 7 | 18 | |
| 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 = 3 | 3 | ||||||||
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.
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 6509 KINGSBURY WAY ZIONSVILLE, IN 46077 and the phone number is (317) 408-2816.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
