MELODIE ELLIS APRN
NPI 1477097970
Nurse Practitioner in Edgewood, KY

Q: What is Melodie Ellis's NPI number?

The NPI number for Melodie Ellis is 1477097970. It was assigned to this individual provider in the NPPES registry on December 19, 2016.

Q: What is Melodie Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melodie Ellis was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 19, 2016

1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 301-8074(859) 301-4945 Get Directions Write a Review

NPPES record last updated: February 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 7, 2022, Aug 7, 2020, Dec 19, 2016 (3 updates tracked since 2016).

On this page

About Melodie Ellis Aprn NPPES

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

MELODIE ELLIS APRN (NPI 1477097970) is an individual nurse practitioner in Edgewood, Kentucky, licensed in Kentucky (3010910) and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1477097970

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELODIE ELLISCredential: APRN

Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 344-5555 · Fax (859) 212-4357

Phone(859) 301-8074

Fax(859) 301-4945

Sole ProprietorNo

Enumeration DateDecember 19, 2016

Last NPPES UpdateFebruary 7, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2022

✔ NPI 1477097970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in KY · 3010910

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1 MEDICAL VILLAGE DR, Edgewood, KY 41017

Open in Google Maps ↗

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.

CARA LINDSAY HANSEN CRNA

Nurse Anesthetist, Certified Registered