PETRINA F. ELLIS APRN-BC
NPI 1356613574
Nurse Practitioner - Family in Yonkers, NY
About Petrina F. Ellis Aprn-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETRINA F. ELLIS APRN-BC (NPI 1356613574) is an individual family provider in Yonkers, New York, licensed in New York (F349223) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
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
Petrina F. Ellis Aprn-bc 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 Reassignments
4Medicare enrollment records show Petrina Ellis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mount Vernon, NY 10550
- Reassigned Medicare billing, New York enrollment
- 108 clinicians in this Medicare group
Bronx, NY 10460
- Reassigned Medicare billing, New York enrollment
- 23 clinicians in this Medicare group
Bohemia, NY 11716
- Reassigned Medicare billing, New York enrollment
- 754 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Georgia enrollment
- 488 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10701 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Petrina Ellis's NPI number?
The NPI number for Petrina Ellis is 1356613574. It was assigned to this individual provider in the NPPES registry on February 3, 2012.
Where is Petrina Ellis located?
Petrina Ellis practices at 30 S Broadway Fl 2, Yonkers, NY 10701. The listed phone number is (914) 968-4898.
What is Petrina Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Petrina Ellis enrolled in Medicare?
Yes. Petrina 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 organizations bill Medicare for Petrina Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Petrina Ellis reassigns Medicare benefits to 4 organizations: Mount Vernon Neighborhood Health Center Inc (Mount Vernon, NY), Vocational Instruction Project Community Services Inc (Bronx, NY), Brookview Medical Associates, PLLC (Bohemia, NY) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Petrina Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Petrina Ellis was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Petrina F. Ellis, APRN-BC · NPI 1356613574
Family physician in Yonkers, New York. Individual provider, active in the CMS NPPES registry since February 3, 2012.
## Identity
- **NPI:** 1356613574 (Entity type: Individual)
- **Enumerated:** February 3, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F349223 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 30 S BROADWAY FL 2, Yonkers, NY 10701-3708
- **Phone:** (914) 968-4898 · **Fax:** (914) 968-1239
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Mount Vernon Neighborhood Health Center Inc (NPI 1295912541, Mount Vernon, NY); Vocational Instruction Project Community Services Inc (NPI 1164880423, Bronx, NY); Brookview Medical Associates, PLLC (NPI 1871965855, Bohemia, NY); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356613574) · Data from the CMS NPPES public registry.