JUSTINA MARIE ELLIS M.D.
NPI 1346602984
Family Medicine in Shelbyville, KY

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
515 HOSPITAL DR STE 1, SHELBYVILLE, KY 40065(502) 633-3525 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Jul 17, 2019, Mar 23, 2016 (3 updates tracked since 2016).

About Justina Marie Ellis M.d. NPPES

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

JUSTINA MARIE ELLIS M.D. (NPI 1346602984) is an individual family medicine provider in Shelbyville, Kentucky, licensed in Kentucky (52870) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Harrison County Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1346602984
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTINA MARIE ELLISCredential: M.D.
Location Address515 HOSPITAL DR STE 1Shelbyville, KY 40065-1619
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0330
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 23, 2016
Last NPPES UpdateNovember 30, 20233 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
NPI 1346602984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 52870
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 52870 (KY)
515 HOSPITAL DR STE 1, Shelbyville, KY 40065

Secondary Practice Locations 3

Location 1512 Saffell StLawrenceburg, KY 40342 · Phone (502) 839-1231
Location 21325 N Race StGlasgow, KY 42141-3454 · Phone (270) 651-4865
Location 3309 11th StCarrollton, KY 41008-1435 · Phone (502) 732-4321

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

Justina Marie 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 ID2668768730
PECOS Enrollment IDI20181029002955, I20230428002156
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 14

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 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.
124 services87 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
77 services77 patients
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.
65 services54 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
42 services42 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
41 services34 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harrison County Hospital

Critical Access Hospitals · Corydon, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151331
Location1141 Hospital Dr NWCorydon, IN 47112 · Harrison County
Emergency services

Uofl Health - Shelbyville Hospital

Acute Care Hospitals · Shelbyville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number180016
Location727 Hospital DriveShelbyville, KY 40065 · Shelby County
Emergency services

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Carroll County Memorial Hospital

Critical Access Hospitals · Carrollton, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181310
Location309 Eleventh StreetCarrollton, KY 41008 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.83
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$104.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
515 HOSPITAL DR STE 1
SHELBYVILLE, KY 40065
Nurse Practitioner (Family)
515 HOSPITAL DR STE 1
SHELBYVILLE, KY 40065
Family Medicine
515 HOSPITAL DR STE 1
SHELBYVILLE, KY 40065
Nurse Practitioner
515 HOSPITAL DR STE 1
SHELBYVILLE, KY 40065

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 Justina Ellis's NPI number?

The NPI number for Justina Ellis is 1346602984. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Justina Ellis located?

Justina Ellis practices at 515 Hospital Dr Ste 1, Shelbyville, KY 40065. The listed phone number is (502) 633-3525.

What is Justina Ellis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justina Ellis enrolled in Medicare?

Yes. Justina 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 Justina Ellis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Justina 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 Justina Ellis affiliated with any hospitals?

According to CMS data, Justina Ellis is affiliated with Harrison County Hospital, UofL Health - Shelbyville Hospital, Jewish Hospital & St Mary's Healthcare and Carroll County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Justina Ellis was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.