AMANDA ELLIS PA
NPI 1689388480
Physician Assistant - Medical in Blaine, TN

Q: What is Amanda Ellis's NPI number?

The NPI number for Amanda Ellis is 1689388480. It was assigned to this individual provider in the NPPES registry on January 6, 2023.

Q: What is Amanda Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Ellis was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since January 06, 2023PECOS EnrolledAccepts Medicare Assignment

880 RUTLEDGE PIKE, BLAINE, TN 37709(865) 933-4110(865) 933-4729 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2023, Jan 6, 2023 (2 updates tracked since 2023).

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About Amanda Ellis Pa NPPES

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

AMANDA ELLIS PA (NPI 1689388480) is an individual medical provider in Blaine, Tennessee, licensed in Tennessee (6356) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Carson Tahoe Regional Medical Center, and maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1689388480

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameAMANDA ELLISCredential: PA

Location Address880 RUTLEDGE PIKEBlaine, TN 37709-2317

Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 312-8165 · Fax (423) 714-2355

Phone(865) 933-4110

Fax(865) 933-4729

Sole ProprietorNo

Medical School CMSYale University School Of MedicineGraduated 2023

Enumeration DateJanuary 6, 2023

Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration

NPPES CertifiedJuly 25, 2025

✔ NPI 1689388480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TN · 6356

Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN88608 (NV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

880 RUTLEDGE PIKE, Blaine, TN 37709

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Secondary Practice Location 1

Location 1433 Temple StNew Haven, CT 06511-6803 · Phone (203) 432-4771

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Ellis Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214382688

PECOS Enrollment IDI20231005001135, I20250731000473

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

292 services144 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

136 services135 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

64 services63 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

44 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services28 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

15 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290019

Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County

Emergency services Birthing friendly

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440056

Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County

Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440120

Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County

Emergency services Birthing friendly

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.

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