HOLLY MARIE ELLIS DO
NPI 1215673793
Student in an Organized Health Care Education/Training Program in Zionsville, IN
About Holly Marie Ellis Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY MARIE ELLIS DO (NPI 1215673793) is an individual student in an organized health care education/training program in Zionsville, Indiana, licensed in Indiana (11022582A) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Holly Marie Ellis Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Holly Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Faribault, MN 55021
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNMercy Hospital
Acute Care Hospitals · Coon Rapids, MNFrequently 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 Holly Ellis's NPI number?
The NPI number for Holly Ellis is 1215673793. It was assigned to this individual provider in the NPPES registry on May 9, 2022.
Where is Holly Ellis located?
Holly Ellis practices at 6509 Kingsbury Way, Zionsville, IN 46077. The listed phone number is (317) 408-2816.
What is Holly Ellis's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Holly Ellis enrolled in Medicare?
Yes. Holly 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.
Which organization bills Medicare for Holly Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Ellis reassigns Medicare benefits to Allina Health System (Faribault, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Ellis accept?
Health plans from HealthPartners and Medica list Holly 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 Holly Ellis affiliated with any hospitals?
According to CMS data, Holly Ellis is affiliated with Abbott Northwestern Hospital and Mercy Hospital.
When was this NPI record last updated?
The NPPES record for Holly Ellis was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Holly Marie Ellis, DO · NPI 1215673793
Student in an Organized Health Care Education/Training Program provider in Zionsville, Indiana. Individual provider, active in the CMS NPPES registry since May 9, 2022.
## Identity
- **NPI:** 1215673793 (Entity type: Individual)
- **Enumerated:** May 9, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 11022582A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 6509 KINGSBURY WAY, Zionsville, IN 46077-8259
- **Phone:** (317) 408-2816
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Allina Health System (NPI 1972006807, Faribault, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215673793) · Data from the CMS NPPES public registry.