MRS. SHAYLISE ELLIS FNP-C
NPI 1790278497
Nurse Practitioner - Family in Temple, TX

Q: What is Shaylise Ellis's NPI number?

The NPI number for Shaylise Ellis is 1790278497. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Q: What is Shaylise Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shaylise Ellis was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment

1605 S 31ST ST, TEMPLE, TX 76508(254) 215-0100(254) 215-0636 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2022, Jul 11, 2022 (2 updates tracked since 2022).

On this page

About Mrs. Shaylise Ellis Fnp-c NPPES

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

MRS. SHAYLISE ELLIS FNP-C (NPI 1790278497) is an individual family provider in Temple, Texas, licensed in Texas (AP137200) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Temple, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790278497

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHAYLISE ELLISCredential: FNP-C

Location Address1605 S 31ST STTemple, TX 76508-7451

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111

Phone(254) 215-0100

Fax(254) 215-0636

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 7, 2018

Last NPPES UpdateJanuary 30, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2025

✔ NPI 1790278497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP137200

1605 S 31ST ST, Temple, TX 76508

Open in Google Maps ↗

Secondary Practice Location 1

Location 11901 S 1st StTemple, TX 76504-7451 · Phone (254) 743-0902

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shaylise Ellis Fnp-c 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 ID6305233602

PECOS Enrollment IDI20220504001935

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.

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.

65 services60 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76508 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 20

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

RAAGSUDHA JHAVAR

Internal Medicine