CONNOR ELLIS
NPI 1386454015
Student in an Organized Health Care Education/Training Program in Lynchburg, VA

Active since January 14, 2025PECOS Enrolled
306 LIBERTY VIEW LN, LYNCHBURG, VA 24502(434) 592-6400 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Connor Ellis NPPES

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

CONNOR ELLIS (NPI 1386454015) is an individual student in an organized health care education/training program in Lynchburg, Virginia and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386454015
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR ELLIS
Location Address306 LIBERTY VIEW LNLynchburg, VA 24502-2291
Mailing Address306 Liberty View LnLynchburg, VA 24502-2291
Sole ProprietorYes
Enumeration DateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
NPI 1386454015 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.
306 LIBERTY VIEW LN, Lynchburg, VA 24502

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Connor Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502
Student in an Organized Health Care Education/Training Program
306 LIBERTY VIEW LN
LYNCHBURG, VA 24502

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 Connor Ellis's NPI number?

The NPI number for Connor Ellis is 1386454015. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Connor Ellis located?

Connor Ellis practices at 306 Liberty View Ln, Lynchburg, VA 24502. The listed phone number is (434) 592-6400.

What is Connor 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 Connor Ellis enrolled in Medicare?

Yes. Connor Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Ellis was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.