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EMMA NICOLE ELLIS MD
NPI 1740082908
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 26, 2025PECOS Enrolled
8414 NAAB RD STE 215, INDIANAPOLIS, IN 46260(317) 338-7510(317) 338-7783 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emma Nicole Ellis Md NPPES

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

EMMA NICOLE ELLIS MD (NPI 1740082908) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740082908
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEMMA NICOLE ELLISCredential: MD
Location Address8414 NAAB RD STE 215Indianapolis, IN 46260-1972
Mailing Address8414 Naab Rd Ste 215Indianapolis, IN 46260-1972 · (317) 338-7510 · Fax (317) 338-7783
Phone(317) 338-7510
Fax(317) 338-7783
Sole ProprietorNo
Enumeration DateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1740082908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8414 NAAB RD STE 215, Indianapolis, IN 46260
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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)

Emma Nicole Ellis Md 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.

Other Providers at the Same Location NPPES 15

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

JOSEPH ALTEPETER
Podiatrist (Foot & Ankle Surgery)
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
SAHIL AMIN DPM
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
RACHEL DOBROZSI DPM
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
NATHAN LOWELL JACKSON DPM
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
ALLYSON WILL DPM
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
ELYSE HOY
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (847) 578-3000
KATHRYN LEIGH CLAXTON DO
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
ANOOP AGRAWAL MD
Student in an Organized Health Care Education/Training Program
8414 NAAB RD STE 215
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510

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 Emma Ellis's NPI number?

The NPI number for Emma Ellis is 1740082908. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Emma Ellis located?

Emma Ellis practices at 8414 Naab Rd Ste 215, Indianapolis, IN 46260. The listed phone number is (317) 338-7510.

What is Emma Ellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Emma Ellis enrolled in Medicare?

Yes. Emma Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emma Ellis was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.