EMILY CAMILLE ELLIS FNP-BC
NPI 1801401237
Nurse Practitioner - Family in Warren, MI
About Emily Camille Ellis Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EMILY CAMILLE ELLIS FNP-BC (NPI 1801401237) is an individual family provider in Warren, Michigan, licensed in Michigan (4704329116) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
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 (PECOS)
Emily Camille Ellis Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Emily Ellis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterford, MI 48329
- Reassigned Medicare billing, Michigan enrollment
- 72 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, Michigan enrollment
- 13 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Arizona enrollment
- 556 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Michigan enrollment
- 666 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 48091 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 Emily Ellis's NPI number?
The NPI number for Emily Ellis is 1801401237. It was assigned to this individual provider in the NPPES registry on September 11, 2020.
Where is Emily Ellis located?
Emily Ellis practices at 5350 Christi Dr, Warren, MI 48091. The listed phone number is (616) 516-1351.
What is Emily Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Emily Ellis enrolled in Medicare?
Yes. Emily Ellis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Emily Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Emily Ellis reassigns Medicare benefits to 4 organizations: Transitional Care Services, LLC (Waterford, MI), Medical Director Services PC (Princess Anne, MD), Signify Health, LLC (Dallas, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Emily Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Emily Ellis accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and CareSource (Common Ground Healthcare) list Emily 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 Emily Ellis was last updated on November 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Emily Camille Ellis, FNP-BC · NPI 1801401237
Family physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since September 11, 2020.
## Identity
- **NPI:** 1801401237 (Entity type: Individual)
- **Enumerated:** September 11, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704329116 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5350 CHRISTI DR, Warren, MI 48091-4195
- **Phone:** (616) 516-1351
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Transitional Care Services, LLC (NPI 1174976807, Waterford, MI); Medical Director Services PC (NPI 1871955807, Princess Anne, MD); Signify Health, LLC (NPI 1689158487, Dallas, TX); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 26, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1801401237) · Data from the CMS NPPES public registry.