MARTY LEON ELLIS APRN, FNP-C
NPI 1225752033
Nurse Practitioner - Family in Holton, KS

Active since September 27, 2022Opted out of Medicare · through Nov 4, 2026

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marty Leon Ellis Aprn, Fnp-c NPPES

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

MARTY LEON ELLIS APRN, FNP-C (NPI 1225752033) is an individual family provider in Holton, Kansas, licensed in Kansas (81573) and active in the NPI registry since September 2022. He has opted out of Medicare through November 4, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225752033
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARTY LEON ELLISCredential: APRN, FNP-C
Location Address23020 M RDHolton, KS 66436-8641
Mailing Address23020 M RdHolton, KS 66436-8641 · (785) 362-8677
Sole ProprietorNo
Enumeration DateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
NPI 1225752033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KS · 81573
23020 M RD, Holton, KS 66436

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Marty Leon Ellis Aprn, Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 4, 2022 through November 4, 2026.

Opt-Out Effective DateNovember 4, 2022
Opt-Out In Effect ThroughNovember 4, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66436 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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 2

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

Family Medicine
23020 M RD
HOLTON, KS 66436
Physical Therapist
23020 M RD
HOLTON, KS 66436

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 Marty Ellis's NPI number?

The NPI number for Marty Ellis is 1225752033. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Marty Ellis located?

Marty Ellis practices at 23020 M Rd, Holton, KS 66436. The listed phone number is (785) 362-8677.

What is Marty Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marty Ellis enrolled in Medicare?

No. Marty Ellis has opted out of Medicare through November 4, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Marty Ellis was last updated on September 27, 2022. 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.