ANDREA ELLIS
NPI 1629472550
Nurse Practitioner - Primary Care in Aiken, SC
About Andrea Ellis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA ELLIS (NPI 1629472550) is an individual primary care provider in Aiken, South Carolina, licensed in South Carolina (18950) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
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
Andrea 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.
Medicare Billing Reassignments
2Medicare enrollment records show Andrea Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
North Charleston, SC 29405
- Reassigned Medicare billing, South Carolina enrollment
- 409 clinicians in this Medicare group
Cincinnati, OH 45236
- Reassigned Medicare billing, Georgia and South Carolina enrollments
- 17 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AIKEN, SC 29803
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 Andrea Ellis's NPI number?
The NPI number for Andrea Ellis is 1629472550. It was assigned to this individual provider in the NPPES registry on October 21, 2014.
Where is Andrea Ellis located?
Andrea Ellis practices at 3000 Woodside Executive Ct, Aiken, SC 29803. The listed phone number is (803) 226-0343.
What is Andrea Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Andrea Ellis enrolled in Medicare?
Yes. Andrea 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 organizations bill Medicare for Andrea Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Ellis reassigns Medicare benefits to 2 organizations: Curana Health Of South Carolina PC (North Charleston, SC) and Health Providers Of America, LLC (Cincinnati, OH). 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 Andrea 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 Andrea Ellis was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Andrea Ellis · NPI 1629472550
Primary Care physician in Aiken, South Carolina. Individual provider, active in the CMS NPPES registry since October 21, 2014.
## Identity
- **NPI:** 1629472550 (Entity type: Individual)
- **Enumerated:** October 21, 2014
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 18950 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3000 WOODSIDE EXECUTIVE CT, Aiken, SC 29803-3831
- **Phone:** (803) 226-0343 · **Fax:** (803) 226-0584
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Curana Health Of South Carolina PC (NPI 1316477896, North Charleston, SC); Health Providers Of America, LLC (NPI 1316560972, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629472550) · Data from the CMS NPPES public registry.