MS. KATHERINE S ELLIS APN
NPI 1275410151
Nurse Practitioner - Primary Care in Ridgewood, NJ
About Ms. Katherine S Ellis Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KATHERINE S ELLIS APN (NPI 1275410151) is an individual primary care provider in Ridgewood, New Jersey, licensed in New Jersey (26NJ15387600) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Katherine S Ellis Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07450 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGEWOOD, NJ 07450
RIDGEWOOD, NJ 07450
RIDGEWOOD, NJ 07450
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 Katherine Ellis's NPI number?
The NPI number for Katherine Ellis is 1275410151. It was assigned to this individual provider in the NPPES registry on August 20, 2025.
Where is Katherine Ellis located?
Katherine Ellis practices at 223 N Van Dien Ave, Ridgewood, NJ 07450. The listed phone number is (201) 447-8345.
What is Katherine Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Katherine Ellis enrolled in Medicare?
Yes. Katherine Ellis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Katherine Ellis was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ms. Katherine S Ellis, APN · NPI 1275410151
Primary Care physician in Ridgewood, New Jersey. Individual provider, active in the CMS NPPES registry since August 20, 2025.
## Identity
- **NPI:** 1275410151 (Entity type: Individual)
- **Enumerated:** August 20, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 26NJ15387600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 223 N VAN DIEN AVE, Ridgewood, NJ 07450-2726
- **Phone:** (201) 447-8345
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Emory University School Of Medicine, class of 2016
## Record status
- **NPPES last updated:** August 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1275410151) · Data from the CMS NPPES public registry.