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ANDREA ELLIS
NPI 1629472550
Nurse Practitioner - Primary Care in Aiken, SC

Active since October 21, 2014PECOS EnrolledAccepts Medicare Assignment
3000 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803(803) 226-0343(803) 226-0584 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, is affiliated with Aiken Regional Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629472550
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameANDREA ELLIS
Location Address3000 WOODSIDE EXECUTIVE CTAiken, SC 29803-3831
Mailing Address3000 Woodside Executive CtAiken, SC 29803-3831 · (803) 226-0343 · Fax (803) 226-0584
Phone(803) 226-0343
Fax(803) 226-0584
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 21, 2014
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1629472550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in SC · 18950
3000 WOODSIDE EXECUTIVE CT, Aiken, SC 29803
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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

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.

PECOS PAC ID2567785900
PECOS Enrollment IDI20230111000794, I20260401002750
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aiken Regional Medical Center

Acute Care Hospitals · Aiken, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420082
Location302 University ParkwayAiken, SC 29801 · Aiken County
Emergency services Birthing friendly

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.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

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.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier15 claims15 services$19.87 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 4

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

ALYSSA MARIE DEGNAN D.O.
Internal Medicine
3000 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803
Aiken County (803) 226-0343
JWKE INTERNAL MEDICINE LLC
Internal Medicine
3000 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803
Aiken County (803) 226-9691
AIKEN PLASTIC SURGERY, PA
Clinic/Center (Medical Specialty)
3000 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803
Aiken County (803) 642-0277
PVD INTERNAL MEDICINE ASSOCIATES LLC
Internal Medicine
3000 WOODSIDE EXECUTIVE CT
AIKEN, SC 29803
Aiken County (803) 226-0343

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.

Is Andrea Ellis affiliated with any hospitals?

According to CMS data, Andrea Ellis is affiliated with Aiken Regional Medical Center.

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 17 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.