MRS. CAROLINE SUZANNE ELLIS NURSE PRACTITIONER
NPI 1588486989
Nurse Practitioner - Family in Carrizozo, NM

Active since October 28, 2024PECOS EnrolledAccepts Medicare Assignment
710 E AVE, FAMILY MEDICINE, CARRIZOZO, NM 88301(575) 648-2317(575) 648-4413 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Caroline Suzanne Ellis Nurse Practitioner NPPES

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

MRS. CAROLINE SUZANNE ELLIS NURSE PRACTITIONER (NPI 1588486989) is an individual family provider in Carrizozo, New Mexico, licensed in New Mexico (81488) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Lincoln County Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1588486989
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CAROLINE SUZANNE ELLISCredential: NURSE PRACTITIONER
Location Address710 E AVE, FAMILY MEDICINECarrizozo, NM 88301-0008
Mailing AddressPo Box 26666Albuquerque, NM 87125-6666 · (575) 740-7449
Fax(575) 648-4413
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 28, 2024
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1588486989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NM · 81488
710 E AVE, Carrizozo, NM 88301

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

Mrs. Caroline Suzanne Ellis Nurse Practitioner 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 ID7416483912
PECOS Enrollment IDI20241206003031
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 Caroline Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
211 SUDDERTH DR
Ruidoso, NM 88345
  • Reassigned Medicare billing, New Mexico enrollment
  • 242 clinicians in this Medicare group
Licensed Practical Nurse
1401 10TH ST STE C
Alamogordo, NM 88310
  • Reassigned Medicare billing, New Mexico enrollment
  • 4 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.

Lincoln County Medical Center

Critical Access Hospitals · Ruidoso, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321306
Location211 Sudderth DriveRuidoso, NM 88345 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88301 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
710 E AVE
CARRIZOZO, NM 88301

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 Caroline Ellis's NPI number?

The NPI number for Caroline Ellis is 1588486989. It was assigned to this individual provider in the NPPES registry on October 28, 2024.

Where is Caroline Ellis located?

Caroline Ellis practices at 710 E Ave Family Medicine, Carrizozo, NM 88301. The listed phone number is (575) 648-2317.

What is Caroline Ellis's specialty?

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

Is Caroline Ellis enrolled in Medicare?

Yes. Caroline 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 Caroline Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Ellis reassigns Medicare benefits to 2 organizations: Presbyterian Healthcare Services (Ruidoso, NM) and Seeberger Dermatology LLC (Alamogordo, NM). 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 Caroline Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Caroline Ellis affiliated with any hospitals?

According to CMS data, Caroline Ellis is affiliated with Lincoln County Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Ellis was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.