MIRIAM BRADSHAW ELLIS LCSW
NPI 1730750704
Social Worker - Clinical in Ukiah, CA
About Miriam Bradshaw Ellis Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRIAM BRADSHAW ELLIS LCSW (NPI 1730750704) is an individual clinical provider in Ukiah, California, licensed in California (112074) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ukiah, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Miriam Bradshaw Ellis Lcsw 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 Miriam Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ukiah, CA 95482
- Reassigned Medicare billing, California enrollment
- 221 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 95482 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 7
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 Miriam Ellis's NPI number?
The NPI number for Miriam Ellis is 1730750704. It was assigned to this individual provider in the NPPES registry on July 9, 2021.
Where is Miriam Ellis located?
Miriam Ellis practices at 260 Hospital Dr Ste 204, Ukiah, CA 95482. The listed phone number is (707) 463-7428.
What is Miriam Ellis's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Miriam Ellis enrolled in Medicare?
Yes. Miriam 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 Miriam Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Ellis reassigns Medicare benefits to Ukiah Adventist Hospital (Ukiah, CA). 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 Miriam Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Miriam Ellis was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Miriam Bradshaw Ellis, LCSW · NPI 1730750704
Clinical provider in Ukiah, California. Individual provider, active in the CMS NPPES registry since July 9, 2021.
## Identity
- **NPI:** 1730750704 (Entity type: Individual)
- **Enumerated:** July 9, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 112074 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 260 HOSPITAL DR STE 204, Ukiah, CA 95482-4568
- **Phone:** (707) 463-7428
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Ukiah Adventist Hospital (NPI 1235120676, Ukiah, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730750704) · Data from the CMS NPPES public registry.