HENRY ELLIS AGACNP-BC
NPI 1710589486
Nurse Practitioner in Worcester, MA
About Henry Ellis Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HENRY ELLIS AGACNP-BC (NPI 1710589486) is an individual nurse practitioner in Worcester, Massachusetts, licensed in Massachusetts (RN2316112) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains a secondary practice location in Worcester.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Henry Ellis Agacnp-bc 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 Henry Ellis's NPI number?
The NPI number for Henry Ellis is 1710589486. It was assigned to this individual provider in the NPPES registry on November 9, 2020.
Where is Henry Ellis located?
Henry Ellis practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 443-7552.
What is Henry Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Henry Ellis enrolled in Medicare?
Yes. Henry 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.
What insurance does Henry Ellis accept?
Health plans from Anthem Blue Cross and Blue Shield list Henry 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.
Is Henry Ellis affiliated with any hospitals?
According to CMS data, Henry Ellis is affiliated with Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Henry Ellis was last updated on March 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Henry Ellis, AGACNP-BC · NPI 1710589486
Nurse Practitioner physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since November 9, 2020.
## Identity
- **NPI:** 1710589486 (Entity type: Individual)
- **Enumerated:** November 9, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN2316112 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (774) 443-7552 · **Fax:** (774) 441-6086
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 27, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1710589486) · Data from the CMS NPPES public registry.