KAITLYN LEIGH ELLIS DC
NPI 1740166131
Chiropractor in Palm Coast, FL

Active since August 12, 2025Accepts Medicare Assignment
145 CYPRESS POINT PKWY, PALM COAST, FL 32164(720) 270-9895 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2026, Aug 12, 2025 (2 updates tracked since 2025).

About Kaitlyn Leigh Ellis Dc NPPES

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

KAITLYN LEIGH ELLIS DC (NPI 1740166131) is an individual chiropractor in Palm Coast, Florida, licensed in Florida (15453) and active in the NPI registry since August 2025. She is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1740166131
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameKAITLYN LEIGH ELLISCredential: DC
Location Address145 CYPRESS POINT PKWYPalm Coast, FL 32164-8426
Mailing Address145 Cypress Point PkwyPalm Coast, FL 32164-8426
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateAugust 12, 2025
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1740166131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · 15453
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
145 CYPRESS POINT PKWY, Palm Coast, FL 32164

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

Kaitlyn Leigh Ellis Dc 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.

PECOS PAC ID7113418229
PECOS Enrollment IDI20251117003670

Medicare Billing Reassignment

Medicare enrollment records show Kaitlyn Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nurse Practitioner
315 N RIDGEWOOD AVE
Edgewater, FL 32132
  • Reassigned Medicare billing, Florida enrollment
  • 19 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 12

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

Chiropractor
145 CYPRESS POINT PKWY, SUITE 104
PALM COAST, FL 32164
Family Medicine
145 CYPRESS POINT PKWY, UNIT 105
PALM COAST, FL 32164
Clinic/Center (Physical Therapy)
145 CYPRESS POINT PKWY, SUITE 104
PALM COAST, FL 32164
Physician Assistant
145 CYPRESS POINT PKWY, SUITE 105
PALM COAST, FL 32164
Nursing Care
145 CYPRESS POINT PKWY, SUITE 101
PALM COAST, FL 32164
Nurse Practitioner (Family)
145 CYPRESS POINT PKWY, SUITE105
PALM COAST, FL 32164
Hearing Instrument Specialist
145 CYPRESS POINT PKWY, SUITE 205
PALM COAST, FL 32164
Nurse Practitioner (Family)
145 CYPRESS POINT PKWY, SUITE 105
PALM COAST, FL 32164

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 Kaitlyn Ellis's NPI number?

The NPI number for Kaitlyn Ellis is 1740166131. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Kaitlyn Ellis located?

Kaitlyn Ellis practices at 145 Cypress Point Pkwy, Palm Coast, FL 32164. The listed phone number is (720) 270-9895.

What is Kaitlyn Ellis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kaitlyn Ellis enrolled in Medicare?

Yes. Kaitlyn 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 Kaitlyn Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Ellis reassigns Medicare benefits to Coastal Integrative Healthcare Inc (Edgewater, FL). 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 Kaitlyn 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 Kaitlyn Ellis was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.