JAMIE L ELLIS NPP
NPI 1508806779
Nurse Practitioner - Psychiatric/Mental Health in Queensbury, NY

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
161 CAREY RD, QUEENSBURY, NY 12804(518) 824-8610(518) 824-2390 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 31, 2025, May 23, 2025, Dec 20, 2024 and 2 more (5 updates tracked since 2017).

About Jamie L Ellis Npp NPPES

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

JAMIE L ELLIS NPP (NPI 1508806779) is an individual psychiatric/mental health provider in Queensbury, New York, licensed in New York (400698) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1508806779
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJAMIE L ELLISCredential: NPP
Location Address161 CAREY RDQueensbury, NY 12804-7821
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Fax(518) 824-2390
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 7, 2006
Last NPPES UpdateDecember 31, 20255 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
NPI 1508806779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NY · 400698
161 CAREY RD, Queensbury, NY 12804

Other Names 1

Former Name (1)Jamie Lin Middlebrook

Other Identifiers 1

Medicaid02347437NY

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

Jamie L Ellis Npp 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 ID4688851520
PECOS Enrollment IDI20110602000164
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12804 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

Physician Assistant
161 CAREY RD
QUEENSBURY, NY 12804
Clinic/Center (Primary Care)
161 CAREY RD
QUEENSBURY, NY 12804
Social Worker (Clinical)
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Adult Health)
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804
Family Medicine
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804
Nurse Practitioner (Family)
161 CAREY RD
QUEENSBURY, NY 12804

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 Jamie Ellis's NPI number?

The NPI number for Jamie Ellis is 1508806779. It was assigned to this individual provider in the NPPES registry on June 7, 2006. The provider is also known as Jamie Lin Middlebrook.

Where is Jamie Ellis located?

Jamie Ellis practices at 161 Carey Rd, Queensbury, NY 12804. The listed phone number is (518) 824-8610.

What is Jamie Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jamie Ellis enrolled in Medicare?

Yes. Jamie 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 Jamie Ellis was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.