MRS. LANI ELLIS P.A.-C
NPI 1821490996
Physician Assistant in Bolivia, NC

Active since September 20, 2014PECOS Enrolled
584 HOSPITAL DR NE UNIT C, BOLIVIA, NC 28422(910) 721-4100(910) 721-4101 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2022, Feb 10, 2021, Jan 25, 2021 and 3 more (6 updates tracked since 2016).

About Mrs. Lani Ellis P.a.-c NPPES

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

MRS. LANI ELLIS P.A.-C (NPI 1821490996) is an individual physician assistant in Bolivia, North Carolina, licensed in North Carolina (0010-07945) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1821490996
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LANI ELLISCredential: P.A.-C
Location Address584 HOSPITAL DR NE UNIT CBolivia, NC 28422
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 202-9966
Fax(910) 721-4101
Sole ProprietorNo
Enumeration DateSeptember 20, 2014
Last NPPES UpdateAugust 30, 20226 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
NPI 1821490996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NC · 0010-07945 Licensed in VA · 0110004612
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 110004612 (VA)
584 HOSPITAL DR NE UNIT C, Bolivia, NC 28422

Secondary Practice Locations 8

Location 1613 Shipyard BlvdWilmington, NC 28412-6492 · Phone (910) 202-5709 · Fax (910) 202-9966
Location 2555 Halyburton Memorial PkwyWilmington, NC 28412-3094 · Phone (910) 790-9949 · Fax (910) 202-9966
Location 31307 Market StWilmington, NC 28401-4331 · Phone (910) 790-9949 · Fax (910) 202-9966
Location 44005 Oleander DrWilmington, NC 28403-6816 · Phone (910) 790-9949 · Fax (910) 202-9966
Location 5Novant Health Oceanside Family Medicine, 584 Hospital Dr Ste CBolivia, NC 28422-9047 · Phone (910) 721-4100
Location 6309 Progress DrBurgaw, NC 28425-3280 · Phone (910) 259-0668 · Fax (910) 202-9966
Location 7615 Shipyard BlvdWilmington, NC 28412-6431 · Phone (910) 343-0145 · Fax (910) 202-9966
Location 82700 N College RdWilmington, NC 28405-8816 · Phone (910) 790-9949

Accepted 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)

Mrs. Lani Ellis P.a.-c 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 28422 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
95%95 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%109 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
51%132 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
82%50 patients4/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
2%60 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Physician Assistant
584 HOSPITAL DR NE UNIT C
BOLIVIA, NC 28422

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 Lani Ellis's NPI number?

The NPI number for Lani Ellis is 1821490996. It was assigned to this individual provider in the NPPES registry on September 20, 2014.

Where is Lani Ellis located?

Lani Ellis practices at 584 Hospital Dr NE Unit C, Bolivia, NC 28422. The listed phone number is (910) 721-4100.

What is Lani Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lani Ellis enrolled in Medicare?

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

What insurance does Lani Ellis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Lani 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 Lani Ellis was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.