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SAMANTHA ELLIS DNP
NPI 1356799985
Nurse Practitioner - Pediatrics in Phoenix, AZ

Active since May 24, 2016
15420 N 32ND DR, PHOENIX, AZ 85053(602) 866-1974 Get Directions Write a Review

NPPES record last updated: August 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2019, Aug 16, 2019, Aug 9, 2019 and 21 more (24 updates tracked since 2016).

About Samantha Ellis Dnp NPPES

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

SAMANTHA ELLIS DNP (NPI 1356799985) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP8278) and active in the NPI registry since May 2016. She maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1356799985
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMANTHA ELLISCredential: DNP
Location Address15420 N 32ND DRPhoenix, AZ 85053
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(602) 866-1974
Sole ProprietorNo
Enumeration DateMay 24, 2016
Last NPPES UpdateAugust 23, 201924 updates tracked since enumeration
✔ NPI 1356799985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in AZ · AP8278
15420 N 32ND DR, Phoenix, AZ 85053
Open in Google Maps ↗

Secondary Practice Location 1

Location 11001 Blythe Blvd, Medical Center Plaza Suite 601Charlotte, NC 28203-5866 · Phone (704) 381-9900

Other Identifiers 1

Medicaid387005AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 11

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

NORTHWEST CLOINIC FOR CHILDREN
Pediatrics
15420 N 32ND DR
PHOENIX, AZ 85053
Maricopa County (602) 866-1974
MRS. KATHARINE L DESSENBERGER P.N.P.
Nurse Practitioner (Pediatrics)
15420 N 32ND DR
PHOENIX, AZ 85053
Maricopa County (602) 866-1974
KRISTEN SERRANO FNP
Nurse Practitioner (Family)
15420 N 32ND DR
PHOENIX, AZ 85053
Maricopa County (602) 855-1974
DR. CARL FRANKLIN IRWIN SR. M.D.
Pediatrics
15420 N 32ND DR
PHOENIX, AZ 85053
Maricopa County (602) 866-1974
DR. DAVID ALLEN GALLES M.D.
Pediatrics
15420 N 32ND DR
PHOENIX, AZ 85053
Maricopa County (602) 866-1974
DR. KAREN LESLIE KENNEDY M.D.
Pediatrics
15420 N 32ND DR
PHOENIX, AZ 85053
Maricopa County (602) 866-1974
DR. KRISTIN KAYE KAUS M.D.
Pediatrics
15420 N 32ND DR
PHOENIX, AZ 85053
Maricopa County (602) 866-1974
STACEY ANNE TOBEN C.P.N.P.
Nurse Practitioner (Pediatrics)
15420 N 32ND DR
PHOENIX, AZ 85053
Maricopa County (602) 866-1974

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 Samantha Ellis's NPI number?

The NPI number for Samantha Ellis is 1356799985. It was assigned to this individual provider in the NPPES registry on May 24, 2016.

Where is Samantha Ellis located?

Samantha Ellis practices at 15420 N 32nd Dr, Phoenix, AZ 85053. The listed phone number is (602) 866-1974.

What is Samantha Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Samantha Ellis accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Samantha 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 Samantha Ellis was last updated on August 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.