KEIDRA ELLIS NURSE PRACTITIONER
NPI 1518724236
Nurse Practitioner - Psychiatric/Mental Health in Louisville, KY
About Keidra Ellis Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEIDRA ELLIS NURSE PRACTITIONER (NPI 1518724236) is an individual psychiatric/mental health provider in Louisville, Kentucky, licensed in Indiana (28221650A) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Keidra Ellis Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOUISVILLE, KY 40215
LOUISVILLE, KY 40215
LOUISVILLE, KY 40215
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 Keidra Ellis's NPI number?
The NPI number for Keidra Ellis is 1518724236. It was assigned to this individual provider in the NPPES registry on February 29, 2024.
Where is Keidra Ellis located?
Keidra Ellis practices at 1900 Bluegrass Ave, Louisville, KY 40215. The listed phone number is (502) 599-9397.
What is Keidra Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Keidra Ellis enrolled in Medicare?
Yes. Keidra Ellis is registered in the Medicare PECOS enrollment system.
What insurance does Keidra Ellis accept?
Health plans from CareSource list Keidra 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.
When was this NPI record last updated?
The NPPES record for Keidra Ellis was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Keidra Ellis, NURSE PRACTITIONER · NPI 1518724236
Psychiatric/Mental Health physician in Louisville, Kentucky. Individual provider, active in the CMS NPPES registry since February 29, 2024.
## Identity
- **NPI:** 1518724236 (Entity type: Individual)
- **Enumerated:** February 29, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 28221650A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 BLUEGRASS AVE, Louisville, KY 40215-1144
- **Phone:** (502) 599-9397
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1518724236) · Data from the CMS NPPES public registry.