KYLIE ALYSSA ELLIS APRN
NPI 1457984361
Nurse Practitioner - Acute Care in Newnan, GA

Active since February 19, 2020PECOS EnrolledAccepts Medicare Assignment
795 POPLAR RD STE 400, NEWNAN, GA 30265(770) 716-0051 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 20, 2022, Oct 4, 2021, Sep 20, 2021 and 1 more (4 updates tracked since 2020).

About Kylie Alyssa Ellis Aprn NPPES

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

KYLIE ALYSSA ELLIS APRN (NPI 1457984361) is an individual acute care provider in Newnan, Georgia, licensed in Georgia (RN239284) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457984361
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKYLIE ALYSSA ELLISCredential: APRN
Location Address795 POPLAR RD STE 400Newnan, GA 30265-2590
Mailing Address795 Poplar Rd Ste 400Newnan, GA 30265-2590 · (770) 716-0051
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 19, 2020
Last NPPES UpdateOctober 20, 20224 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
NPI 1457984361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in GA · RN239284
Also ListedRegistered NurseTaxonomy 163W00000X · License RN239284 (GA)
795 POPLAR RD STE 400, Newnan, GA 30265

Other Names 1

Former Name (1)Kylie Alyssa Kullman Rn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kylie Alyssa Ellis Aprn 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.

PECOS PAC ID3476946997
PECOS Enrollment IDI20230106002491
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Cardiovascular Disease)
795 POPLAR RD STE 400
NEWNAN, GA 30265
Nurse Practitioner (Acute Care)
795 POPLAR RD STE 400
NEWNAN, GA 30265
Nurse Practitioner
795 POPLAR RD STE 400
NEWNAN, GA 30265

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 Kylie Ellis's NPI number?

The NPI number for Kylie Ellis is 1457984361. It was assigned to this individual provider in the NPPES registry on February 19, 2020. The provider is also known as Kylie Alyssa Kullman Rn.

Where is Kylie Ellis located?

Kylie Ellis practices at 795 Poplar Rd Ste 400, Newnan, GA 30265. The listed phone number is (770) 716-0051.

What is Kylie Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kylie Ellis enrolled in Medicare?

Yes. Kylie 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.

When was this NPI record last updated?

The NPPES record for Kylie Ellis was last updated on October 20, 2022. 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.