EVAN LAWTON ELLIS DC
NPI 1619646171
Chiropractor in Towson, MD
About Evan Lawton Ellis Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVAN LAWTON ELLIS DC (NPI 1619646171) is an individual chiropractor in Towson, Maryland, licensed in Maryland (S04102) and active in the NPI registry since September 2021. He is a graduate of New York Chiropractic College (2021).
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 and accepts Medicare assignment
Evan Lawton Ellis Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Evan Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bel Air, MD 21014
- Reassigned Medicare billing, Maryland 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.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Evan Ellis's NPI number?
The NPI number for Evan Ellis is 1619646171. It was assigned to this individual provider in the NPPES registry on September 8, 2021.
Where is Evan Ellis located?
Evan Ellis practices at 1122 Kenilworth Dr Ste 109, Towson, MD 21204. The listed phone number is (443) 901-4200.
What is Evan Ellis's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Evan Ellis enrolled in Medicare?
Yes. Evan 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 organization bills Medicare for Evan Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Evan Ellis reassigns Medicare benefits to Neubaum Wellness Group LLC (Bel Air, MD). The 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 Evan 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 Evan Ellis was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Evan Lawton Ellis, DC · NPI 1619646171
Chiropractor provider in Towson, Maryland. Individual provider, active in the CMS NPPES registry since September 8, 2021.
## Identity
- **NPI:** 1619646171 (Entity type: Individual)
- **Enumerated:** September 8, 2021
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** S04102 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1122 KENILWORTH DR STE 109, Towson, MD 21204-2141
- **Phone:** (443) 901-4200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Neubaum Wellness Group LLC (NPI 1023654290, Bel Air, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Chiropractic College, class of 2021
## Record status
- **NPPES last updated:** September 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619646171) · Data from the CMS NPPES public registry.