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MS. MARLENA SHANDRELL ELLIS FNP
NPI 1477008837
Nurse Practitioner - Family in Jacksonville, FL

Active since August 15, 2016PECOS Enrolled
500 MCDUFF AVE S, JACKSONVILLE, FL 32254(904) 506-4044(904) 490-8544 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 16, 2020, Oct 24, 2018, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

About Ms. Marlena Shandrell Ellis Fnp NPPES

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

MS. MARLENA SHANDRELL ELLIS FNP (NPI 1477008837) is an individual family provider in Jacksonville, Florida, licensed in Florida (ARNP9345611) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1477008837
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. MARLENA SHANDRELL ELLISCredential: FNP
Location Address500 MCDUFF AVE SJacksonville, FL 32254-4250
Mailing Address12171 Sw 268th StHomestead, FL 33032-8001 · (305) 278-0200 · Fax (786) 430-1583
Phone(904) 506-4044
Fax(904) 490-8544
Sole ProprietorYes
Enumeration DateAugust 15, 2016
Last NPPES UpdateMarch 16, 20206 updates tracked since enumeration
NPPES CertifiedMarch 16, 2020
✔ NPI 1477008837 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
License✔ Licensed in FL · ARNP9345611
500 MCDUFF AVE S, Jacksonville, FL 32254
Open in Google Maps ↗

Secondary Practice Location 1

Location 14866 Big Island Dr Unit 5Jacksonville, FL 32246-5301 · Phone (904) 652-0652

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Marlena Shandrell Ellis Fnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marlena Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pophealthcare, LLC
1.8 mi
Primary Care
532 RIVERSIDE AVE, RIVERSIDE COMPLEX, 8 CENTER
Jacksonville, FL 32202
  • Reassigned Medicare billing, Florida enrollment
  • 96 clinicians in this Medicare group
NPI 1326617150 (800) 793-7050
American Care Of North Florida, Inc
3.0 mi
General Practice
1918 BLANDING BLVD
Jacksonville, FL 32210
  • Reassigned Medicare billing, Florida enrollment
  • 47 clinicians in this Medicare group
NPI 1053679787 (305) 278-0200

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 32254 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 4

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

SHENAYE LYONS ARNP
Nurse Practitioner (Family)
500 MCDUFF AVE S
JACKSONVILLE, FL 32254
Duval County (045) 064-0449
DR. ANGEL E CHECA GONZALEZ MD
General Practice
500 MCDUFF AVE S
JACKSONVILLE, FL 32254
Duval County (904) 506-4044
AMERICAN CARE OF NORTH FLORIDA, INC
General Practice
500 MCDUFF AVE S
JACKSONVILLE, FL 32254
Duval County (904) 506-4044
MAINELYS CHAVIANO ALFONSO APRN
Nurse Practitioner (Family)
500 MCDUFF AVE S
JACKSONVILLE, FL 32254
Duval County (904) 506-4044

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 Marlena Ellis's NPI number?

The NPI number for Marlena Ellis is 1477008837. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Marlena Ellis located?

Marlena Ellis practices at 500 Mcduff Ave S, Jacksonville, FL 32254. The listed phone number is (904) 506-4044.

What is Marlena Ellis's specialty?

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

Is Marlena Ellis enrolled in Medicare?

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

Which organizations bill Medicare for Marlena Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marlena Ellis reassigns Medicare benefits to 2 organizations: Pophealthcare, LLC (Jacksonville, FL) and American Care Of North Florida, Inc (Jacksonville, FL). 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 Marlena 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 Marlena Ellis was last updated on March 16, 2020. 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.