MRS. LATRESE ANN ELLIS NP
NPI 1861810749
Nurse Practitioner - Family in Atlanta, GA
About Mrs. Latrese Ann Ellis Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LATRESE ANN ELLIS NP (NPI 1861810749) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN165019) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
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 and accepts Medicare assignment
Mrs. Latrese Ann Ellis Np 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30331 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30331
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 Latrese Ellis's NPI number?
The NPI number for Latrese Ellis is 1861810749. It was assigned to this individual provider in the NPPES registry on March 28, 2014.
Where is Latrese Ellis located?
Latrese Ellis practices at 3800 Princeton Lakes Pkwy SW, Atlanta, GA 30331. The listed phone number is (404) 948-3019.
What is Latrese Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latrese Ellis enrolled in Medicare?
Yes. Latrese Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Latrese Ellis accept?
Health plans from CareSource list Latrese 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 Latrese Ellis was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Mrs. Latrese Ann Ellis, NP · NPI 1861810749
Family physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since March 28, 2014.
## Identity
- **NPI:** 1861810749 (Entity type: Individual)
- **Enumerated:** March 28, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN165019 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 PRINCETON LAKES PKWY SW, Atlanta, GA 30331-5580
- **Phone:** (404) 948-3019
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861810749) · Data from the CMS NPPES public registry.