MARSHA ELLIS
NPI 1629832316
Nurse Practitioner - Family in Bronx, NY

Q: What is Marsha Ellis's NPI number?

The NPI number for Marsha Ellis is 1629832316. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Q: What is Marsha Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marsha Ellis was last updated on September 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 12, 2024PECOS Enrolled

1825 EASTCHESTER RD, BRONX, NY 10461(718) 904-2210 Get Directions Write a Review

NPPES record last updated: September 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Marsha Ellis NPPES

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

MARSHA ELLIS (NPI 1629832316) is an individual family provider in Bronx, New York, licensed in New York (352289) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Mercy College (2023).

NPPES Registry Identity

NPI1629832316

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARSHA ELLIS

Location Address1825 EASTCHESTER RDBronx, NY 10461-2301

Mailing Address97 Old Hopewell RdWappingers Falls, NY 12590-4058

Phone(718) 904-2210

Sole ProprietorYes

Medical School CMSMercy CollegeGraduated 2023

Enumeration DateFebruary 12, 2024

Last NPPES UpdateSeptember 20, 2025

NPPES CertifiedSeptember 20, 2025

✔ NPI 1629832316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 352289

1825 EASTCHESTER RD, Bronx, NY 10461

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Secondary Practice Locations 2

Location 197 Old Hopewell RdWappingers Falls, NY 12590-4058 · Phone (845) 518-0077

Location 2400 Westage Business Ctr Dr Ste 211Fishkill, NY 12524-2267 · Phone (845) 471-3500 ext. 2060 · Fax (845) 896-5196

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marsha Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113434846

PECOS Enrollment IDI20250728003796

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10461 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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