MARSHA ELLIS
NPI 1629832316
Nurse Practitioner - Family in Bronx, NY
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
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marsha Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Marsha Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bronx, NY 10467
- Reassigned Medicare billing, New York enrollment
- 5,251 clinicians in this Medicare group
Brewster, NY 10509
- Reassigned Medicare billing, New York enrollment
- 39 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 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10461
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 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.
Where is Marsha Ellis located?
Marsha Ellis practices at 1825 Eastchester Rd, Bronx, NY 10461. The listed phone number is (718) 904-2210.
What is Marsha Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marsha Ellis enrolled in Medicare?
Yes. Marsha Ellis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marsha Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marsha Ellis reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Northern Medical Group, PLLC (Brewster, NY). 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 Marsha 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 Marsha Ellis was last updated on September 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Marsha Ellis · NPI 1629832316
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since February 12, 2024.
## Identity
- **NPI:** 1629832316 (Entity type: Individual)
- **Enumerated:** February 12, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 352289 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1825 EASTCHESTER RD, Bronx, NY 10461-2301
- **Phone:** (718) 904-2210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Montefiore Medical Center (NPI 1063525152, Bronx, NY); Northern Medical Group, PLLC (NPI 1174994826, Brewster, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Mercy College, class of 2023
## Record status
- **NPPES last updated:** September 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629832316) · Data from the CMS NPPES public registry.