STEPHANIE MARIE ELLIS ARNP
NPI 1639995699
Nurse Practitioner - Family in Plantation, FL
About Stephanie Marie Ellis Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE MARIE ELLIS ARNP (NPI 1639995699) is an individual family provider in Plantation, Florida, licensed in Florida (11036590) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stephanie Marie Ellis Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33324 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stephanie Ellis's NPI number?
The NPI number for Stephanie Ellis is 1639995699. It was assigned to this individual provider in the NPPES registry on November 25, 2024.
Where is Stephanie Ellis located?
Stephanie Ellis practices at 137 NW 100th Ave, Plantation, FL 33324. The listed phone number is (954) 577-5161.
What is Stephanie Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stephanie Ellis enrolled in Medicare?
Yes. Stephanie Ellis is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stephanie Ellis was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.
# Stephanie Marie Ellis, ARNP · NPI 1639995699
Family physician in Plantation, Florida. Individual provider, active in the CMS NPPES registry since November 25, 2024.
## Identity
- **NPI:** 1639995699 (Entity type: Individual)
- **Enumerated:** November 25, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11036590 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 137 NW 100TH AVE, Plantation, FL 33324-7034
- **Phone:** (954) 577-5161
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639995699) · Data from the CMS NPPES public registry.