CARRIE SUSANNE ELLIS AGACNP
NPI 1376372557
Nurse Practitioner - Acute Care in Newport Beach, CA
About Carrie Susanne Ellis Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRIE SUSANNE ELLIS AGACNP (NPI 1376372557) is an individual acute care provider in Newport Beach, California, licensed in California (95030685) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carrie Susanne Ellis Agacnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carrie Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newport Beach, CA 92663
- Reassigned Medicare billing, California enrollment
- 529 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 92663 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.
NEWPORT BEACH, CA 92663
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 Carrie Ellis's NPI number?
The NPI number for Carrie Ellis is 1376372557. It was assigned to this individual provider in the NPPES registry on July 29, 2024.
Where is Carrie Ellis located?
Carrie Ellis practices at 1 Hoag Dr, Newport Beach, CA 92663. The listed phone number is (949) 764-5588.
What is Carrie Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Carrie Ellis enrolled in Medicare?
Yes. Carrie Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carrie Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Ellis reassigns Medicare benefits to Hoag Clinic (Newport Beach, CA). The 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 Carrie 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 Carrie Ellis was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Carrie Susanne Ellis, AGACNP · NPI 1376372557
Acute Care physician in Newport Beach, California. Individual provider, active in the CMS NPPES registry since July 29, 2024.
## Identity
- **NPI:** 1376372557 (Entity type: Individual)
- **Enumerated:** July 29, 2024
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95030685 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HOAG DR, Newport Beach, CA 92663-4162
- **Phone:** (949) 764-5588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hoag Clinic (NPI 1942799523, Newport Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376372557) · Data from the CMS NPPES public registry.