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MARY ELLIS APRN
NPI 1790105948
Nurse Practitioner - Psychiatric/Mental Health in Valley, NE

Active since April 25, 2014PECOS Enrolled
223 E CONDRON ST, VALLEY, NE 68064(402) 517-7646(402) 359-2702 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Aug 5, 2022 (2 updates tracked since 2022).

About Mary Ellis Aprn NPPES

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

MARY ELLIS APRN (NPI 1790105948) is an individual psychiatric/mental health provider in Valley, Nebraska, licensed in Nebraska (113044) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790105948
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARY ELLISCredential: APRN
Location Address223 E CONDRON STValley, NE 68064-3401
Mailing Address223 E Condron StValley, NE 68064-3401 · (402) 871-6010 · Fax (402) 359-2702
Phone(402) 517-7646
Fax(402) 359-2702
Sole ProprietorYes
Enumeration DateApril 25, 2014
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1790105948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NE · 113044
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 55813 (NE)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 113044 (NE)
223 E CONDRON ST, Valley, NE 68064
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Ellis Aprn 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Fremont Health
13 mi
Internal Medicine
450 E 23RD ST
Fremont, NE 68025
  • Reassigned Medicare billing, Nebraska enrollment
  • 178 clinicians in this Medicare group
NPI 1235618216 (402) 721-1610
Family Enrichment Inc
17 mi
Social Worker
820 SOUTH 75TH STREET
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 7 clinicians in this Medicare group
NPI 1164582169 (402) 391-2477

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services15 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
36 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68064 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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.

Other Providers at the Same Location NPPES

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

ELLIS PSYCHIATRIC LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
223 E CONDRON ST
VALLEY, NE 68064
Douglas County (402) 871-6010

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 Mary Ellis's NPI number?

The NPI number for Mary Ellis is 1790105948. It was assigned to this individual provider in the NPPES registry on April 25, 2014.

Where is Mary Ellis located?

Mary Ellis practices at 223 E Condron St, Valley, NE 68064. The listed phone number is (402) 517-7646.

What is Mary Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mary Ellis enrolled in Medicare?

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

Which organizations bill Medicare for Mary Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ellis reassigns Medicare benefits to 2 organizations: Methodist Fremont Health (Fremont, NE) and Family Enrichment Inc (Omaha, NE). 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 Mary 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 Mary Ellis was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.