DESTA ELLIS M.D.
NPI 1295140887
Student in an Organized Health Care Education/Training Program in Visalia, CA

Active since June 23, 2014PECOS EnrolledAccepts Medicare Assignment
88.98/100
CMS Quality Rating
400 W MINERAL KING AVE, VISALIA, CA 93291(559) 624-6999 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Desta Ellis M.d. NPPES

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

DESTA ELLIS M.D. (NPI 1295140887) is an individual student in an organized health care education/training program in Visalia, California and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1295140887
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDESTA ELLISCredential: M.D.
Location Address400 W MINERAL KING AVEVisalia, CA 93291-6237
Mailing Address400 W Mineral King AveVisalia, CA 93291-6237 · (559) 624-6999
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 23, 2014
NPI 1295140887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

400 W MINERAL KING AVE, Visalia, CA 93291

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Desta Ellis M.d. 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.

PECOS PAC ID9335410091
PECOS Enrollment IDI20170731001228
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
165 services161 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.44
Promoting Interoperability100
Improvement Activities40
Cost61.9

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.

Emergency Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Family Medicine
400 W MINERAL KING AVE
VISALIA, CA 93291
Nurse Practitioner (Acute Care)
400 W MINERAL KING AVE
VISALIA, CA 93291
Hospitalist
400 W MINERAL KING AVE
VISALIA, CA 93291
Anesthesiology
400 W MINERAL KING AVE
VISALIA, CA 93291
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 W MINERAL KING AVE
VISALIA, CA 93291
Nurse Anesthetist, Certified Registered
400 W MINERAL KING AVE, KAWEAH DELTA MEDICAL CENTER
VISALIA, CA 93291
Social Worker (Clinical)
400 W MINERAL KING AVE
VISALIA, CA 93291

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 Desta Ellis's NPI number?

The NPI number for Desta Ellis is 1295140887. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Where is Desta Ellis located?

Desta Ellis practices at 400 W Mineral King Ave, Visalia, CA 93291. The listed phone number is (559) 624-6999.

What is Desta 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 Desta Ellis enrolled in Medicare?

Yes. Desta 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.

What insurance does Desta Ellis accept?

Health plans from Molina Healthcare list Desta 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.

When was this NPI record last updated?

The NPPES record for Desta Ellis was last updated on June 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.