COLLEEN MARY ELLIS FNP-C
NPI 1568053676
Nurse Practitioner - Family in Tucson, AZ
About Colleen Mary Ellis Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLEEN MARY ELLIS FNP-C (NPI 1568053676) is an individual family provider in Tucson, Arizona, licensed in Arizona (253304) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Colleen Mary Ellis Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Colleen Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oro Valley, AZ 85704
- Reassigned Medicare billing, Arizona enrollment
- 99 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85741 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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCSON, AZ 85741
TUCSON, AZ 85741
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 Colleen Ellis's NPI number?
The NPI number for Colleen Ellis is 1568053676. It was assigned to this individual provider in the NPPES registry on February 1, 2021.
Where is Colleen Ellis located?
Colleen Ellis practices at 3662 W Ina Rd Ste 150, Tucson, AZ 85741. The listed phone number is (520) 912-4242.
What is Colleen Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Colleen Ellis enrolled in Medicare?
Yes. Colleen 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 Colleen Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Ellis reassigns Medicare benefits to 2 organizations: Southern Arizona Urgent Care LLC (Oro Valley, AZ) and Alaska Native Tribal Health Consortium (Anchorage, AK). 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 Colleen Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Colleen Ellis accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Colleen 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 Colleen Ellis was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Colleen Mary Ellis, FNP-C · NPI 1568053676
Family physician in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since February 1, 2021.
## Identity
- **NPI:** 1568053676 (Entity type: Individual)
- **Enumerated:** February 1, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 253304 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 3662 W INA RD STE 150, Tucson, AZ 85741-2269
- **Phone:** (520) 912-4242
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern Arizona Urgent Care LLC (NPI 1285994004, Oro Valley, AZ); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** February 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1568053676) · Data from the CMS NPPES public registry.