SIMON ADRIANE ELLIS CNM
NPI 1720332869
Advanced Practice Midwife in Seattle, WA
About Simon Adriane Ellis Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMON ADRIANE ELLIS CNM (NPI 1720332869) is an individual advanced practice midwife in Seattle, Washington, licensed in Washington (AP60314067) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Simon Adriane Ellis Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Simon Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98109
- Reassigned Medicare billing, Washington enrollment
- 2,678 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Simon Ellis's NPI number?
The NPI number for Simon Ellis is 1720332869. It was assigned to this individual provider in the NPPES registry on October 26, 2012.
Where is Simon Ellis located?
Simon Ellis practices at 310 15th Ave E, Seattle, WA 98112. The listed phone number is (206) 326-3000.
What is Simon Ellis's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Simon Ellis enrolled in Medicare?
Yes. Simon Ellis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Simon Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Simon Ellis reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). 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 Simon Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Simon Ellis accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Simon 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 Simon Ellis was last updated on April 28, 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.
# Simon Adriane Ellis, CNM · NPI 1720332869
Advanced Practice Midwife physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since October 26, 2012.
## Identity
- **NPI:** 1720332869 (Entity type: Individual)
- **Enumerated:** October 26, 2012
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** AP60314067 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 310 15TH AVE E, Seattle, WA 98112-5103
- **Phone:** (206) 326-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kaiser Foundation Health Plan Of Washington (NPI 1396810701, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720332869) · Data from the CMS NPPES public registry.