ELLIS PRATHER NP
NPI 1720861438
Nurse Practitioner - Women's Health in Astoria, NY

Q: What is Ellis Prather's NPI number?

The NPI number for Ellis Prather is 1720861438. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Ellis Prather's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Ellis Prather was last updated on January 24, 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.

Active since August 16, 2023PECOS Enrolled

2818 ASTORIA BLVD, ASTORIA, NY 11102(917) 410-6905 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ellis Prather Np NPPES

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

ELLIS PRATHER NP (NPI 1720861438) is an individual women's health provider in Astoria, New York, licensed in New York (421714) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720861438

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameELLIS PRATHERCredential: NP

Location Address2818 ASTORIA BLVDAstoria, NY 11102-4751

Mailing Address36 1st AveBoston, MA 02129-4557 · (413) 687-5911

Phone(917) 410-6905

Sole ProprietorNo

Enumeration DateAugust 16, 2023

Last NPPES UpdateJanuary 24, 2024

NPPES CertifiedJanuary 14, 2024

✔ NPI 1720861438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in NY · 421714

2818 ASTORIA BLVD, Astoria, NY 11102

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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)

Ellis Prather Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11102 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 5

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

DR. MICHAEL TONSOR II D.O.

Obstetrics & Gynecology