Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA MAE ELLISON APRN
NPI 1669341194
Nurse Practitioner - Family in Clarksville, TN

Q: What is Angela Ellison's NPI number?

The NPI number for Angela Ellison is 1669341194. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Q: What is Angela Ellison'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 Angela Ellison was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.

Active since November 03, 2025PECOS Enrolled

1812 HAYNES ST, CLARKSVILLE, TN 37043(615) 410-4990 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 28, 2026, Nov 3, 2025 (2 updates tracked since 2025).

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About Angela Mae Ellison Aprn NPPES

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

ANGELA MAE ELLISON APRN (NPI 1669341194) is an individual family provider in Clarksville, Tennessee, licensed in Tennessee (APRN43138) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669341194

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANGELA MAE ELLISONCredential: APRN

Location Address1812 HAYNES STClarksville, TN 37043-4547

Mailing Address1812 Haynes StClarksville, TN 37043-4547 · (615) 410-4990

Phone(615) 410-4990

Sole ProprietorNo

Enumeration DateNovember 3, 2025

Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1669341194 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 TN · APRN43138

1812 HAYNES ST, Clarksville, TN 37043

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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 (PECOS)

Angela Mae Ellison Aprn 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 37043 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 3

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

TONI LAMBERTI PA

Physician Assistant

1812 HAYNES ST
CLARKSVILLE, TN 37043

Montgomery County (615) 410-4990

GEORGE I KURITA JR. MD

Dermatology

1812 HAYNES ST
CLARKSVILLE, TN 37043

Montgomery County (931) 552-1352

GEORGE I. KURITA JR MD PC

Dermatology

1812 HAYNES ST
CLARKSVILLE, TN 37043

Montgomery County (931) 552-1352

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 Angela Ellison's NPI number?

The NPI number for Angela Ellison is 1669341194. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Angela Ellison located?

Angela Ellison practices at 1812 Haynes St, Clarksville, TN 37043. The listed phone number is (615) 410-4990.

What is Angela Ellison's specialty?

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

Is Angela Ellison enrolled in Medicare?

Yes. Angela Ellison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Ellison was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.