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SUMMERLYN ELLIS
NPI 1689439341
Nurse Practitioner - Family in Redmond, OR

Active since February 20, 2024PECOS EnrolledAccepts Medicare Assignment
1020 SW INDIAN AVE, REDMOND, OR 97756(541) 923-6024 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Summerlyn Ellis NPPES

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

SUMMERLYN ELLIS (NPI 1689439341) is an individual family provider in Redmond, Oregon, licensed in Oregon (10022072) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1689439341
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUMMERLYN ELLIS
Location Address1020 SW INDIAN AVERedmond, OR 97756-3037
Mailing Address1020 Sw Indian AveRedmond, OR 97756-3037
Phone(541) 923-6024
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1689439341 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 OR · 10022072
1020 SW INDIAN AVE, Redmond, OR 97756
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Summerlyn Ellis 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 ID7810338589
PECOS Enrollment IDI20240513000575
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.

Medicare Billing Reassignment

Medicare enrollment records show Summerlyn Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Pain Solutions Of Oregon LLC
Same address
Family
1020 SW INDIAN AVE, STE 100
Redmond, OR 97756
  • Reassigned Medicare billing, Oregon enrollment
  • 4 clinicians in this Medicare group
NPI 1982323259 (541) 923-6024

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
87 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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

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

ADVANCED PAIN SOLUTIONS OF OREGON LLC
Nurse Practitioner (Family)
1020 SW INDIAN AVE, STE 100
REDMOND, OR 97756
Deschutes County (541) 923-6024

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 Summerlyn Ellis's NPI number?

The NPI number for Summerlyn Ellis is 1689439341. It was assigned to this individual provider in the NPPES registry on February 20, 2024.

Where is Summerlyn Ellis located?

Summerlyn Ellis practices at 1020 SW Indian Ave, Redmond, OR 97756. The listed phone number is (541) 923-6024.

What is Summerlyn Ellis's specialty?

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

Is Summerlyn Ellis enrolled in Medicare?

Yes. Summerlyn Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Summerlyn Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Summerlyn Ellis reassigns Medicare benefits to Advanced Pain Solutions Of Oregon LLC (Redmond, OR). The 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 Summerlyn Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Summerlyn Ellis accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Summerlyn Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summerlyn Ellis was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.