KELLEY LYNNE ELLIS NP
NPI 1790322576
Nurse Practitioner in Ann Arbor, MI

Q: What is Kelley Ellis's NPI number?

The NPI number for Kelley Ellis is 1790322576. It was assigned to this individual provider in the NPPES registry on November 29, 2019.

Q: What is Kelley Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Ellis was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 November 29, 2019PECOS Enrolled

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 26, 2025, Jan 11, 2021, Nov 29, 2019 (3 updates tracked since 2019).

On this page

About Kelley Lynne Ellis Np NPPES

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

KELLEY LYNNE ELLIS NP (NPI 1790322576) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704290179) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790322576

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLEY LYNNE ELLISCredential: NP

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299

Phone(734) 936-4000

Sole ProprietorNo

Enumeration DateNovember 29, 2019

Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1790322576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704290179

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 (PECOS)

Kelley Lynne Ellis Np 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 48109 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Kelley Ellis's NPI number?

The NPI number for Kelley Ellis is 1790322576. It was assigned to this individual provider in the NPPES registry on November 29, 2019.

Where is Kelley Ellis located?

Kelley Ellis practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Kelley Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelley Ellis enrolled in Medicare?

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

What insurance does Kelley Ellis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kelley 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 Kelley Ellis was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.