ANDREW P ELLIS PHD
NPI 1730283813
Clinical Neuropsychologist in Portland, OR
About Andrew P Ellis Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW P ELLIS PHD (NPI 1730283813) is an individual clinical neuropsychologist in Portland, Oregon, licensed in Oregon (1396) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).
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 and accepts Medicare assignment
Andrew P Ellis Phd 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tigard, OR 97224
- Reassigned Medicare billing, Oregon enrollment
- 24 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.
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.
PORTLAND, OR 97225
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 Andrew Ellis's NPI number?
The NPI number for Andrew Ellis is 1730283813. It was assigned to this individual provider in the NPPES registry on September 11, 2006.
Where is Andrew Ellis located?
Andrew Ellis practices at 1815 SW Marlow Suite 110, Portland, OR 97225. The listed phone number is (503) 292-0765.
What is Andrew Ellis's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Andrew Ellis enrolled in Medicare?
Yes. Andrew 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 Andrew Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Ellis reassigns Medicare benefits to Brain Rehab Network Oregon, Inc. (Tigard, 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 Andrew Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Ellis accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Andrew 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 Andrew Ellis was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Andrew P Ellis, PHD · NPI 1730283813
Clinical Neuropsychologist provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since September 11, 2006.
## Identity
- **NPI:** 1730283813 (Entity type: Individual)
- **Enumerated:** September 11, 2006
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 1396 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 1815 SW MARLOW, SUITE 110, Portland, OR 97225-5185
- **Phone:** (503) 292-0765 · **Fax:** (503) 292-5208
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brain Rehab Network Oregon, Inc. (NPI 1134595002, Tigard, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** December 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730283813) · Data from the CMS NPPES public registry.