AMANDA JEAN ELLIS D.O.
NPI 1588924716
Emergency Medicine in Johnstown, PA
About Amanda Jean Ellis D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA JEAN ELLIS D.O. (NPI 1588924716) is an individual emergency medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (OT014701) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Jean Ellis D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Amanda Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Johnstown, PA 15905
- Reassigned Medicare billing, Pennsylvania enrollment
- 103 clinicians in this Medicare group
Johnstown, PA 15905
- Reassigned Medicare billing, Pennsylvania enrollment
- 771 clinicians in this Medicare group
Hastings, PA 16646
- Reassigned Medicare billing, Pennsylvania enrollment
- 80 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 15905 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.
JOHNSTOWN, PA 15905
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 Amanda Ellis's NPI number?
The NPI number for Amanda Ellis is 1588924716. It was assigned to this individual provider in the NPPES registry on May 22, 2012.
Where is Amanda Ellis located?
Amanda Ellis practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9106.
What is Amanda Ellis's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Amanda Ellis enrolled in Medicare?
Yes. Amanda Ellis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amanda Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Ellis reassigns Medicare benefits to 3 organizations: Dlp Conemaugh Memorial Medical Center LLC (Johnstown, PA), Dlp Conemaugh Physician Practices LLC (Johnstown, PA) and Dlp Conemaugh Miners Medical Center LLC (Hastings, PA). 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 Amanda Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Ellis was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Amanda Jean Ellis, D.O. · NPI 1588924716
Emergency Medicine physician in Johnstown, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 22, 2012.
## Identity
- **NPI:** 1588924716 (Entity type: Individual)
- **Enumerated:** May 22, 2012
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OT014701 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1086 FRANKLIN ST, Johnstown, PA 15905-4305
- **Phone:** (814) 534-9106
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dlp Conemaugh Memorial Medical Center LLC (NPI 1669873881, Johnstown, PA); Dlp Conemaugh Physician Practices LLC (NPI 1184025876, Johnstown, PA); Dlp Conemaugh Miners Medical Center LLC (NPI 1184620486, Hastings, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1588924716) · Data from the CMS NPPES public registry.