TAMMY ELLIS
NPI 1598167488
Social Worker - Clinical in Bountiful, UT

Active since September 22, 2014PECOS EnrolledAccepts Medicare Assignment
390 N MAIN ST, BOUNTIFUL, UT 84010(801) 408-8502 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 8, 2024, Dec 28, 2018 (2 updates tracked since 2018).

About Tammy Ellis NPPES

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

TAMMY ELLIS (NPI 1598167488) is an individual clinical provider in Bountiful, Utah, licensed in Utah (9846070-3502) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brigham City, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1598167488
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTAMMY ELLIS
Location Address390 N MAIN STBountiful, UT 84010-6046
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 22, 2014
Last NPPES UpdateMarch 8, 20242 updates tracked since enumeration
NPPES CertifiedMarch 8, 2024
✔ NPI 1598167488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 9846070-3502
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
390 N MAIN ST, Bountiful, UT 84010

Secondary Practice Location 1

Location 1663 W 950 SBrigham City, UT 84302-3021 · Phone (435) 734-9449

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tammy Ellis 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 ID4880956697
PECOS Enrollment IDI20180314001858
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Nurse Practitioner
390 N MAIN ST
BOUNTIFUL, UT 84010
Internal Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010
Nurse Practitioner (Family)
390 N MAIN ST
BOUNTIFUL, UT 84010
Pediatrics
390 N MAIN ST
BOUNTIFUL, UT 84010
Family Medicine
390 N MAIN ST
BOUNTIFUL, UT 84010

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 Tammy Ellis's NPI number?

The NPI number for Tammy Ellis is 1598167488. It was assigned to this individual provider in the NPPES registry on September 22, 2014.

Where is Tammy Ellis located?

Tammy Ellis practices at 390 N Main St, Bountiful, UT 84010. The listed phone number is (801) 408-8502.

What is Tammy Ellis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tammy Ellis enrolled in Medicare?

Yes. Tammy 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.

What insurance does Tammy Ellis accept?

Health plans from Select Health list Tammy 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 Tammy Ellis was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.