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CORTNEY SHANTRES ELLIS
NPI 1396380283
Nurse Practitioner - Family in Belton, SC

Active since November 14, 2019PECOS Enrolled
110 EVANS DR, BELTON, SC 29627(864) 356-4598 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2023, Nov 14, 2019 (2 updates tracked since 2019).

About Cortney Shantres Ellis NPPES

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

CORTNEY SHANTRES ELLIS (NPI 1396380283) is an individual family provider in Belton, South Carolina, licensed in South Carolina (2019050719) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396380283
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCORTNEY SHANTRES ELLIS
Location Address110 EVANS DRBelton, SC 29627-9464
Mailing Address300 Brittany ParkAnderson, SC 29621-1565 · (864) 356-4598
Phone(864) 356-4598
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 14, 2019
Last NPPES UpdateJuly 25, 20232 updates tracked since enumeration
NPPES CertifiedJuly 25, 2023
✔ NPI 1396380283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · 2019050719✔ Licensed in SC · 23492
110 EVANS DR, Belton, SC 29627
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3870904162
PECOS Enrollment IDI20201117001721
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Cortney Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pruitthealth Hospice, Inc.
11 mi
Hospice Care, Community Based
1510 N FANT ST
Anderson, SC 29621
  • Reassigned Medicare billing, South Carolina enrollment
  • 17 clinicians in this Medicare group
NPI 1174878342 (864) 226-1219
David Budhoo, LLC
16 mi
Internal Medicine
123 UPPER VIEW TER
Anderson, SC 29625
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1881110294 (864) 314-9214
Signify Health Medical Associates, PLLC
834 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, South Carolina enrollment
  • 311 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
21 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29627 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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 Cortney Ellis's NPI number?

The NPI number for Cortney Ellis is 1396380283. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Cortney Ellis located?

Cortney Ellis practices at 110 Evans Dr, Belton, SC 29627. The listed phone number is (864) 356-4598.

What is Cortney Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cortney Ellis enrolled in Medicare?

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

Which organizations bill Medicare for Cortney Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cortney Ellis reassigns Medicare benefits to 3 organizations: Pruitthealth Hospice, Inc. (Anderson, SC), David Budhoo, LLC (Anderson, SC) 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 Cortney 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 Cortney Ellis was last updated on July 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.