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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA LUANA ELLIS LCSW
NPI 1548976202
Social Worker in Rexburg, ID

Active since January 26, 2023PECOS Enrolled
450 E MAIN ST, REXBURG, ID 83440(208) 359-7689(208) 488-4265 Get Directions Write a Review

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

Record update history: Aug 28, 2026, Jan 26, 2023 (2 updates tracked since 2023).

About Angela Luana Ellis Lcsw NPPES

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

ANGELA LUANA ELLIS LCSW (NPI 1548976202) is an individual social worker in Rexburg, Idaho, licensed in Idaho (8861855) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1548976202
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameANGELA LUANA ELLISCredential: LCSW
Location Address450 E MAIN STRexburg, ID 83440-2048
Mailing Address450 E Main StRexburg, ID 83440-2048 · (208) 359-7689 · Fax (208) 488-4265
Phone(208) 359-7689
Fax(208) 488-4265
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 26, 2023
Last NPPES UpdateAugust 28, 20262 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1548976202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in ID · 8861855✔ Licensed in ID · LMSW-41785
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
450 E MAIN ST, Rexburg, ID 83440
Open in Google Maps ↗

Other Names 1

Former Name (1)Angela Luana Neumann Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Luana Ellis Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608358999
PECOS Enrollment IDI20260305001993
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 Reassignment

Medicare enrollment records show Angela Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Madison Co Memorial Hospital
0.2 mi
Podiatrist
25 MADISON PROFESSIONAL PARK
Rexburg, ID 83440
  • Reassigned Medicare billing, Idaho enrollment
  • 40 clinicians in this Medicare group
NPI 1730800897 (208) 359-1400

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

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.

BRADLEY SAUNDERS OTR-L
Occupational Therapist
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6532
BRYCE CAMPBELL
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6900
TODD GEHMLICH CRNA
Nurse Anesthetist, Certified Registered
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
KAYLA STEVENSON RN
Registered Nurse (Neonatal Intensive Care)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6900
MR. STEVEN CRAIG PIERCE PA-C
Physician Assistant (Medical)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
MICHAEL ANDERSON D.O.
Emergency Medicine (Emergency Medical Services)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
TROY HANSON NP
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 356-3691
BEYRON ALEXIS ZECHER FNP-C
Nurse Practitioner (Family)
450 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-6900

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 Angela Ellis's NPI number?

The NPI number for Angela Ellis is 1548976202. It was assigned to this individual provider in the NPPES registry on January 26, 2023. The provider is also known as Angela Luana Neumann Lcsw.

Where is Angela Ellis located?

Angela Ellis practices at 450 E Main St, Rexburg, ID 83440. The listed phone number is (208) 359-7689.

What is Angela Ellis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Angela Ellis enrolled in Medicare?

Yes. Angela Ellis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Angela Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angela Ellis reassigns Medicare benefits to Madison Co Memorial Hospital (Rexburg, ID). The 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 Angela Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Angela Ellis accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Select Health and University of Utah Health Plans list Angela 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 Angela Ellis was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.