SUSAN ELLIS PMHNP
NPI 1750706800
Nurse Practitioner - Psychiatric/Mental Health in Roseburg, OR
About Susan Ellis Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSAN ELLIS PMHNP (NPI 1750706800) is an individual psychiatric/mental health provider in Roseburg, Oregon, licensed in Oregon (202114835NP-PP) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and is a graduate of University Of Arizona College Of Medicine (2016).
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
Susan Ellis Pmhnp 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 Reassignments
2Medicare enrollment records show Susan Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseburg, OR 97470
- Reassigned Medicare billing, Oregon enrollment
- 83 clinicians in this Medicare group
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 61 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center
Acute Care Hospitals · Roseburg, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97470 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 20
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 Susan Ellis's NPI number?
The NPI number for Susan Ellis is 1750706800. It was assigned to this individual provider in the NPPES registry on February 26, 2014.
Where is Susan Ellis located?
Susan Ellis practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 492-4550.
What is Susan Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Susan Ellis enrolled in Medicare?
Yes. Susan 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 organizations bill Medicare for Susan Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susan Ellis reassigns Medicare benefits to 2 organizations: Adapt (Roseburg, OR) and Centennial Medical Group East, LLC (Roseburg, OR). Each 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 Susan Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Susan Ellis accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Susan 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.
Is Susan Ellis affiliated with any hospitals?
According to CMS data, Susan Ellis is affiliated with Mercy Medical Center.
When was this NPI record last updated?
The NPPES record for Susan Ellis was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Susan Ellis, PMHNP · NPI 1750706800
Psychiatric/Mental Health physician in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since February 26, 2014.
## Identity
- **NPI:** 1750706800 (Entity type: Individual)
- **Enumerated:** February 26, 2014
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 202114835NP-PP (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 621 W MADRONE ST, Roseburg, OR 97470-3090
- **Phone:** (541) 492-4550 · **Fax:** (541) 492-4556
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Adapt (NPI 1639682883, Roseburg, OR); Centennial Medical Group East, LLC (NPI 1134243249, Roseburg, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arizona College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** September 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1750706800) · Data from the CMS NPPES public registry.