ALLISON ELLIS DO
NPI 1689518615
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Q: What is Allison Ellis's NPI number?

The NPI number for Allison Ellis is 1689518615. It was assigned to this individual provider in the NPPES registry on April 18, 2026.

Q: What is Allison Ellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Allison Ellis was last updated on April 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 April 18, 2026PECOS Enrolled

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-4000 Get Directions Write a Review

NPPES record last updated: April 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Allison Ellis Do NPPES

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

ALLISON ELLIS DO (NPI 1689518615) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689518615

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALLISON ELLISCredential: DO

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-4000

Phone(910) 615-4000

Sole ProprietorYes

Enumeration DateApril 18, 2026

NPPES CertifiedApril 18, 2026

✔ NPI 1689518615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1638 OWEN DR, Fayetteville, NC 28304

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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)

Allison Ellis Do 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.

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.

HEATHER MCPHAIL COAXUM NP

Nurse Practitioner (Family)