LAWANDA NICOLE ELLIS FNP
NPI 1518571900
Nurse Practitioner - Family in Taylorsville, MS

Active since September 02, 2020PECOS EnrolledAccepts Medicare Assignment
531 MS-23, TAYLORSVILLE, MS 39168(601) 785-9580 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2026, Nov 10, 2022, Sep 2, 2020 (3 updates tracked since 2020).

About Lawanda Nicole Ellis Fnp NPPES

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

LAWANDA NICOLE ELLIS FNP (NPI 1518571900) is an individual family provider in Taylorsville, Mississippi, licensed in Mississippi (901770) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518571900
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAWANDA NICOLE ELLISCredential: FNP
Location Address531 MS-23Taylorsville, MS 39168
Mailing Address531 Ms-28Taylorsville, MS 39168-5791 · (601) 785-9580
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 2, 2020
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1518571900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 901770
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 901770 (MS)
531 MS-23, Taylorsville, MS 39168

Secondary Practice Locations 2

Location 14124 W 4th St Apt 2010Hattiesburg, MS 39401-5791 · Phone (601) 517-8047
Location 21411 Bradley AveBeaumont, MS 39423-5611 · Phone (601) 784-3922

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lawanda Nicole Ellis Fnp 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 ID5799183489
PECOS Enrollment IDI20211011001972
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 Lawanda Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
409 WILLIS STREET, SUITE 2
Taylorsville, MS 39168
  • Reassigned Medicare billing, Mississippi enrollment
  • 20 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
100 HIGHWAY 535
Seminary, MS 39479
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Southeast Mississippi Rural Health Initiative, Inc.
  • 62 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250058
Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39168 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$19.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$104.51 avg. paid by Medicare
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
2 suppliers12 claims13 services$196.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Lawanda Ellis's NPI number?

The NPI number for Lawanda Ellis is 1518571900. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Lawanda Ellis located?

Lawanda Ellis practices at 531 Ms-23, Taylorsville, MS 39168. The listed phone number is (601) 785-9580.

What is Lawanda Ellis's specialty?

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

Is Lawanda Ellis enrolled in Medicare?

Yes. Lawanda 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.

Which organizations bill Medicare for Lawanda Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawanda Ellis reassigns Medicare benefits to 2 organizations: Family Health Center, Inc (Taylorsville, MS) and Seminary Family Health Center (Seminary, MS). 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 Lawanda Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawanda Ellis accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Lawanda 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 Lawanda Ellis affiliated with any hospitals?

According to CMS data, Lawanda Ellis is affiliated with South Central Reg Med Ctr.

When was this NPI record last updated?

The NPPES record for Lawanda Ellis was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.