MRS. GENIE MARIE ELLIS FNP
NPI 1649233677
Nurse Practitioner - Family in Rapid City, SD

Q: What is Genie Ellis's NPI number?

The NPI number for Genie Ellis is 1649233677. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Q: What is Genie 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 Genie Ellis was last updated on November 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.

Active since April 10, 2006PECOS Enrolled

3200 CANYON LAKE DR, RAPID CITY, SD 57702(605) 355-2443(650) 355-2403 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

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About Mrs. Genie Marie Ellis Fnp NPPES

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

MRS. GENIE MARIE ELLIS FNP (NPI 1649233677) is an individual family provider in Rapid City, South Dakota, licensed in South Dakota (0229CNP) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649233677

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. GENIE MARIE ELLISCredential: FNP

Location Address3200 CANYON LAKE DRRapid City, SD 57702-8114

Mailing Address3200 Canyon Lake DrRapid City, SD 57702-8114 · (605) 355-2443 · Fax (650) 355-2403

Phone(605) 355-2443

Fax(650) 355-2403

Sole ProprietorNo

Enumeration DateApril 10, 2006

Last NPPES UpdateNovember 8, 2011

✔ NPI 1649233677 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 SD · 0229CNP

3200 CANYON LAKE DR, Rapid City, SD 57702

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Other Identifiers 3

Medicare ID-Type Unspecified8HZ859SD

Medicare UPINS64627SD

Medicaid5549050SD

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Genie Marie Ellis Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 57702 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

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.

ABBYGAIL BINGHAM MLT

Technician, Pathology