CARLIE G. ELLIS
NPI 1750933040
Nurse Practitioner - Gerontology in Bremerton, WA

Q: What is Carlie Ellis's NPI number?

The NPI number for Carlie Ellis is 1750933040. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Q: What is Carlie Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Carlie Ellis was last updated on November 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 16, 2019PECOS Enrolled

2709 HEMLOCK ST, BREMERTON, WA 98310(360) 373-2547(360) 479-8268 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2020, Jul 16, 2019 (2 updates tracked since 2019).

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About Carlie G. Ellis NPPES

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

CARLIE G. ELLIS (NPI 1750933040) is an individual gerontology provider in Bremerton, Washington, licensed in Washington (AP60971061) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1750933040

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameCARLIE G. ELLIS

Location Address2709 HEMLOCK STBremerton, WA 98310-2623

Mailing Address2709 Hemlock StBremerton, WA 98310-2623 · (360) 373-2547 · Fax (360) 479-8268

Phone(360) 373-2547

Fax(360) 479-8268

Sole ProprietorNo

Enumeration DateJuly 16, 2019

Last NPPES UpdateNovember 3, 20202 updates tracked since enumeration

NPPES CertifiedNovember 3, 2020

✔ NPI 1750933040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in WA · AP60971061

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60971061 (WA)

2709 HEMLOCK ST, Bremerton, WA 98310

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Secondary Practice Location 1

Location 1325 9th AveSeattle, WA 98104-2420 · Phone (206) 520-5000

Other Identifiers 1

Medicaid2138383WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlie G. Ellis 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98310 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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