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ALEXA RENEE ELLIS MSN, RN, FNP-BC
NPI 1912730052
Nurse Practitioner - Family in Great Neck, NY

Active since August 23, 2024PECOS EnrolledAccepts Medicare Assignment
225 COMMUNITY DR RM 110, GREAT NECK, NY 11021(516) 365-3996 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alexa Renee Ellis Msn, Rn, Fnp-bc NPPES

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

ALEXA RENEE ELLIS MSN, RN, FNP-BC (NPI 1912730052) is an individual family provider in Great Neck, New York, licensed in New York (353283) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912730052
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXA RENEE ELLISCredential: MSN, RN, FNP-BC
Location Address225 COMMUNITY DR RM 110Great Neck, NY 11021-5506
Mailing Address225 Community Dr Rm 110Great Neck, NY 11021-5506
Phone(516) 365-3996
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 23, 2024
NPPES CertifiedAugust 23, 2024
✔ NPI 1912730052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 353283
Also ListedRegistered NurseTaxonomy 163W00000X · License 809745 (NY)
225 COMMUNITY DR RM 110, Great Neck, NY 11021
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Other Names 1

Former Name (1)Alexa Renee Demanuel Msn, Rn, Fnp-bc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexa Renee Ellis Msn, Rn, Fnp-bc 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 ID2961922257
PECOS Enrollment IDI20250217001951
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.

Medicare Billing Reassignment

Medicare enrollment records show Alexa Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore-Lij Medical PC
0.3 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

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 11021 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 19

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

CHRISTINA GOMES FNP
Nurse Practitioner (Family)
225 COMMUNITY DR RM 110
GREAT NECK, NY 11021
Nassau County (516) 918-4800
KELSEY CROCKER
Genetic Counselor, MS
225 COMMUNITY DR RM 110
GREAT NECK, NY 11021
Nassau County (516) 918-4817
ARIELLA DAPHNA REITER
Genetic Counselor, MS
225 COMMUNITY DR RM 110
GREAT NECK, NY 11021
Nassau County (516) 918-4821
SUZANNA ALLAN MS, CGC
Genetic Counselor, MS
225 COMMUNITY DR RM 110
GREAT NECK, NY 11021
Nassau County (516) 918-4800
DANIELLE NICOLE NAPOLI MS, GC
Genetic Counselor, MS
225 COMMUNITY DR RM 110
GREAT NECK, NY 11021
Nassau County (516) 918-4800
MS. GEORGIA LOUCOPOULOS MMSC
Genetic Counselor, MS
225 COMMUNITY DR RM 110
GREAT NECK, NY 11021
Nassau County (516) 918-4844
ERIN WEISS
Genetic Counselor, MS
225 COMMUNITY DR RM 110
GREAT NECK, NY 11021
Nassau County (516) 918-4800
MS. GABRIELLE AMOROSO
Nurse Practitioner (Family)
225 COMMUNITY DR RM 110
GREAT NECK, NY 11021
Nassau County (516) 918-4800

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 Alexa Ellis's NPI number?

The NPI number for Alexa Ellis is 1912730052. It was assigned to this individual provider in the NPPES registry on August 23, 2024. The provider is also known as Alexa Renee Demanuel Msn, Rn, Fnp-Bc.

Where is Alexa Ellis located?

Alexa Ellis practices at 225 Community Dr Rm 110, Great Neck, NY 11021. The listed phone number is (516) 365-3996.

What is Alexa Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alexa Ellis enrolled in Medicare?

Yes. Alexa 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.

Which organization bills Medicare for Alexa Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexa Ellis reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The 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 Alexa Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alexa Ellis was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.