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TERESA W ELLIS APRN
NPI 1619948569
Nurse Practitioner - Family in Lexington, KY

Active since January 30, 2006PECOS Enrolled
100/100
CMS Quality Rating
740 S LIMESTONE STE J107, LEXINGTON, KY 40536(859) 323-5603(859) 323-3704 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2024, Oct 19, 2023, Mar 28, 2016 (3 updates tracked since 2016).

About Teresa W Ellis Aprn NPPES

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

TERESA W ELLIS APRN (NPI 1619948569) is an individual family provider in Lexington, Kentucky, licensed in Kentucky (3007458) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mt Sterling.

NPPES Registry Identity

NPI1619948569
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTERESA W ELLISCredential: APRN
Location Address740 S LIMESTONE STE J107Lexington, KY 40536-9792
Mailing AddressPo Box 936London, KY 40743-0936 · (606) 330-7835 · Fax (606) 330-7825
Phone(859) 323-5603
Fax(859) 323-3704
Sole ProprietorNo
Enumeration DateJanuary 30, 2006
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1619948569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in KY · 3007458✔ Licensed in VA · 0024087401
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 3007458 (KY)
740 S LIMESTONE STE J107, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Location 1

Location 1227 Falcon Dr Ste 104MT Sterling, KY 40353-9792 · Phone (859) 497-5459

Other Identifiers 1

Medicaid7100007360KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa W Ellis Aprn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Teresa Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
Dentist
740 S LIMESTONE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1730225129 (859) 257-3462
Health Help Incorporated
25 mi
Federally Qualified Health Center (FQHC)
401 HIGHLAND PARK DR
Richmond, KY 40475
  • Reassigned Medicare billing, Kentucky enrollment
  • 71 clinicians in this Medicare group
NPI 1659358398 (859) 626-7700

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services43 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$20.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$111.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ANDREA RENEE COVINGTON APRN
Nurse Practitioner (Family)
740 S LIMESTONE STE J107
LEXINGTON, KY 40536
Fayette County (859) 323-5603
AMY ELISABETH HARWARD PA
Physician Assistant
740 S LIMESTONE STE J107
LEXINGTON, KY 40536
Fayette County (859) 323-5603
ELIZABETH T CONLEY PA
Physician Assistant
740 S LIMESTONE STE J107
LEXINGTON, KY 40536
Fayette County (859) 323-5603

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 Teresa Ellis's NPI number?

The NPI number for Teresa Ellis is 1619948569. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Teresa Ellis located?

Teresa Ellis practices at 740 S Limestone Ste J107, Lexington, KY 40536. The listed phone number is (859) 323-5603.

What is Teresa Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Teresa Ellis enrolled in Medicare?

Yes. Teresa Ellis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Teresa Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Ellis reassigns Medicare benefits to 2 organizations: University Of Kentucky (Lexington, KY) and Health Help Incorporated (Richmond, KY). 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 Teresa 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 Teresa Ellis was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.