MRS. AMANDA L ELLIS APRN.CNP
NPI 1902443195
Nurse Practitioner - Family in Canton, OH

Q: What is Amanda Ellis's NPI number?

The NPI number for Amanda Ellis is 1902443195. It was assigned to this individual provider in the NPPES registry on December 6, 2019.

Q: What is Amanda 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 Amanda Ellis was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since December 06, 2019PECOS EnrolledAccepts Medicare Assignment

408 9TH ST SW, CANTON, OH 44707(330) 454-2000 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2022, Dec 6, 2019 (2 updates tracked since 2019).

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About Mrs. Amanda L Ellis Aprn.cnp NPPES

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

MRS. AMANDA L ELLIS APRN.CNP (NPI 1902443195) is an individual family provider in Canton, Ohio, licensed in Ohio (APRN.CNP.025521) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center, and maintains a secondary practice location in Cuyahoga Falls.

NPPES Registry Identity

NPI1902443195

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. AMANDA L ELLISCredential: APRN.CNP

Location Address408 9TH ST SWCanton, OH 44707-4714

Mailing Address408 9th St SwCanton, OH 44707-4714

Phone(330) 454-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 6, 2019

Last NPPES UpdateJanuary 19, 20222 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2022

✔ NPI 1902443195 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 OH · APRN.CNP.025521

408 9TH ST SW, Canton, OH 44707

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Secondary Practice Location 1

Location 1750 Albemarle AveCuyahoga Falls, OH 44221-4814 · Phone (330) 414-9945

Other Identifiers 1

Medicaid0414147OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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. Amanda L Ellis Aprn.cnp 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 ID9032538863

PECOS Enrollment IDI20200929000968

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

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

38 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Medical Center

Acute Care Hospitals · Canton, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360070

Location1320 Mercy Drive NWCanton, OH 44708 · Stark County

Emergency services Birthing friendly

Aultman Hospital

Acute Care Hospitals · Canton, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360084

Location2600 Sixth Street SWCanton, OH 44710 · Stark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44707 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

SARA ABI RN, APRN.CNP

Nurse Practitioner (Psychiatric/Mental Health)