MR. MARK D. ELLIS N.P.
NPI 1508868530
Nurse Practitioner - Family in Johnson City, TX

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
208 HALEY RD, JOHNSON CITY, TX 78636(830) 868-9500(830) 868-4606 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 10, 2021, Aug 2, 2021 (2 updates tracked since 2021).

About Mr. Mark D. Ellis N.p. NPPES

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

MR. MARK D. ELLIS N.P. (NPI 1508868530) is an individual family provider in Johnson City, Texas, licensed in Texas (AP108475) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of University Of Texas Medical Branch At Galveston (1997).

NPPES Registry Identity

NPI1508868530
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARK D. ELLISCredential: N.P.
Location Address208 HALEY RDJohnson City, TX 78636-4617
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Fax(830) 868-4606
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1997
Enumeration DateAugust 10, 2005
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
NPI 1508868530 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 TX · AP108475 Licensed in TX · 609633
208 HALEY RD, Johnson City, TX 78636

Other Identifiers 1

Other8N3533TX · Blue Cross Blue Shield

Accepted Insurance

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

Mr. Mark D. Ellis N.p. 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 ID143496323
PECOS Enrollment IDI20120110000755
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center - Marble Falls

Acute Care Hospitals · Marble Falls, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670108
Location810 W Highway 71Marble Falls, TX 78654 · Burnet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78636 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers26 claims26 services$184.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant
208 HALEY RD
JOHNSON CITY, TX 78636
Dentist
208 HALEY RD
JOHNSON CITY, TX 78636
Clinic/Center (Rural Health)
208 HALEY RD
JOHNSON CITY, TX 78636
Family Medicine
208 HALEY RD
JOHNSON CITY, TX 78636

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 Mark Ellis's NPI number?

The NPI number for Mark Ellis is 1508868530. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Mark Ellis located?

Mark Ellis practices at 208 Haley Rd, Johnson City, TX 78636. The listed phone number is (830) 868-9500.

What is Mark Ellis's specialty?

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

Is Mark Ellis enrolled in Medicare?

Yes. Mark 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.

What insurance does Mark Ellis accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Mark Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Ellis affiliated with any hospitals?

According to CMS data, Mark Ellis is affiliated with Baylor Scott & White Medical Center - Temple, Hill Country Memorial Hospital, Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center - Marble Falls.

When was this NPI record last updated?

The NPPES record for Mark Ellis was last updated on August 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.