MS. TINA ELLIS APRN
NPI 1770152415
Nurse Practitioner - Family in Olive Branch, MS
About Ms. Tina Ellis Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. TINA ELLIS APRN (NPI 1770152415) is an individual family provider in Olive Branch, Mississippi, licensed in Mississippi (F03200290) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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
Ms. Tina Ellis Aprn 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
6Medicare enrollment records show Tina Ellis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
Dyersburg, TN 38024
- Reassigned Medicare billing, Tennessee enrollment
- 256 clinicians in this Medicare group
Brentwood, TN 37027
- Reassigned Medicare billing, Tennessee enrollment
- 208 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Mississippi and Utah enrollments
- 202 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Colorado, Maryland and Tennessee enrollments
- 290 clinicians in this Medicare group
Stuart, FL 34997
- Reassigned Medicare billing, Florida enrollment
- 32 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 38654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tina Ellis's NPI number?
The NPI number for Tina Ellis is 1770152415. It was assigned to this individual provider in the NPPES registry on June 17, 2021.
Where is Tina Ellis located?
Tina Ellis practices at 7321 Eastover Blvd, Olive Branch, MS 38654. The listed phone number is (813) 716-7611.
What is Tina Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tina Ellis enrolled in Medicare?
Yes. Tina 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 Tina Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Ellis reassigns Medicare benefits to 6 organizations: Fast Pace Mississippi, PLLC (Ripley, MS), T M Carr MD PC (Dyersburg, TN), Carr PLLC (Brentwood, TN), Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX) and 1 more organization, listed in the Medicare section above. 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 Tina Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Ellis accept?
Health plans from CareSource and CareSource (Common Ground Healthcare) list Tina 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.
When was this NPI record last updated?
The NPPES record for Tina Ellis was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Ms. Tina Ellis, APRN · NPI 1770152415
Family physician in Olive Branch, Mississippi. Individual provider, active in the CMS NPPES registry since June 17, 2021.
## Identity
- **NPI:** 1770152415 (Entity type: Individual)
- **Enumerated:** June 17, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F03200290 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 7321 EASTOVER BLVD, Olive Branch, MS 38654-1413
- **Phone:** (813) 716-7611
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Fast Pace Mississippi, PLLC (NPI 1447769559, Ripley, MS); T M Carr MD PC (NPI 1992706097, Dyersburg, TN); Carr PLLC (NPI 1548677610, Brentwood, TN); Signify Health, LLC (NPI 1689158487, Dallas, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1770152415) · Data from the CMS NPPES public registry.