DR. SUSAN G ELLIS PH.D.
NPI 1578633350
Psychologist - Clinical in Largo, FL
About Dr. Susan G Ellis Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN G ELLIS PH.D. (NPI 1578633350) is an individual clinical provider in Largo, Florida, licensed in Florida (PY2173) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1976).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Dr. Susan G Ellis Ph.d. 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 Reassignment
Medicare enrollment records show Susan Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Largo, FL 33771
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Susan G. Ellis Phd PA
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 33771 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Susan Ellis's NPI number?
The NPI number for Susan Ellis is 1578633350. It was assigned to this individual provider in the NPPES registry on November 8, 2006.
Where is Susan Ellis located?
Susan Ellis practices at 3233 E Bay Dr Suite 100, Largo, FL 33771. The listed phone number is (727) 536-2200.
What is Susan Ellis's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Susan Ellis enrolled in Medicare?
Yes. Susan 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 organization bills Medicare for Susan Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ellis reassigns Medicare benefits to Susan G. Ellis, Ph.D., P.A. (Largo, FL). 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 Susan Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Ellis accept?
Health plans from Oscar Health Maintenance Organization of Florida, UnitedHealthcare and Wellpoint list Susan 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 Susan Ellis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Susan G Ellis, PH.D. · NPI 1578633350
Clinical provider in Largo, Florida. Individual provider, active in the CMS NPPES registry since November 8, 2006.
## Identity
- **NPI:** 1578633350 (Entity type: Individual)
- **Enumerated:** November 8, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PY2173 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3233 E BAY DR, SUITE 100, Largo, FL 33771-1900
- **Phone:** (727) 536-2200 · **Fax:** (727) 531-5088
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Susan G. Ellis, Ph.D., P.A. (NPI 1801125869, Largo, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1976
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 74314Z (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1578633350) · Data from the CMS NPPES public registry.