1. Home
  2. Directory
  3. Illinois
  4. Champaign
  5. Nurse Practitioner
  6. NPI Profile

MRS. VICKIE EILEEN ELLIS APN/CNP
NPI 1619102456
Nurse Practitioner - Obstetrics & Gynecology in Champaign, IL

Active since May 22, 2009
201 W. KENYON RD, CHAMPAIGN, IL 61820(217) 531-5365(217) 531-5378 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Vickie Eileen Ellis Apn/cnp NPPES

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

MRS. VICKIE EILEEN ELLIS APN/CNP (NPI 1619102456) is an individual obstetrics & gynecology provider in Champaign, Illinois, licensed in Illinois (209002125) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1619102456
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMRS. VICKIE EILEEN ELLISCredential: APN/CNP
Location Address201 W. KENYON RDChampaign, IL 61820-7892
Mailing Address201 W Kenyon RdChampaign, IL 61820-7892 · (217) 531-5365 · Fax (217) 531-5378
Phone(217) 531-5365
Fax(217) 531-5378
Sole ProprietorNo
Enumeration DateMay 22, 2009
Last NPPES UpdateAugust 17, 2012
✔ NPI 1619102456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in IL · 209002125
201 W. KENYON RD, Champaign, IL 61820
Open in Google Maps ↗

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 Vickie Ellis's NPI number?

The NPI number for Vickie Ellis is 1619102456. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Vickie Ellis located?

Vickie Ellis practices at 201 W. Kenyon Rd, Champaign, IL 61820. The listed phone number is (217) 531-5365.

What is Vickie Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Vickie Ellis was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.