SABRINA JOLINE ELLIS DDS
NPI 1598135097
Dentist in Fort Wayne, IN

Q: What is Sabrina Ellis's NPI number?

The NPI number for Sabrina Ellis is 1598135097. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Q: What is Sabrina Ellis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sabrina Ellis was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since September 28, 2015PECOS Enrolled

1717 S CALHOUN ST, FORT WAYNE, IN 46802(260) 458-2641 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2018, Sep 28, 2015 (2 updates tracked since 2015).

On this page

About Sabrina Joline Ellis Dds NPPES

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

SABRINA JOLINE ELLIS DDS (NPI 1598135097) is an individual dentist in Fort Wayne, Indiana, licensed in Ohio (30.024626) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598135097

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSABRINA JOLINE ELLISCredential: DDS

Location Address1717 S CALHOUN STFort Wayne, IN 46802

Mailing Address1717 S Calhoun StFort Wayne, IN 46802-5257 · (260) 458-2641

Phone(260) 458-2641

Sole ProprietorNo

Enumeration DateSeptember 28, 2015

Last NPPES UpdateJuly 5, 20182 updates tracked since enumeration

✔ NPI 1598135097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30.024626

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1717 S CALHOUN ST, Fort Wayne, IN 46802

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sabrina Joline Ellis Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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 20

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

RONALD R HALL M.D.

Pediatrics