DARLENE D ELLIS APRN
NPI 1922448398
Nurse Practitioner - Family in Pikeville, KY
About Darlene D Ellis Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DARLENE D ELLIS APRN (NPI 1922448398) is an individual family provider in Pikeville, Kentucky, licensed in Kentucky (3008024) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Darlene D Ellis Aprn 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.
Medicare Billing Reassignment
Medicare enrollment records show Darlene Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Pikeville, KY 41501
- Reassigned Medicare billing, Kentucky enrollment
- 579 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
King's Daughters' Medical Center
Acute Care Hospitals · Ashland, KYPikeville Medical Center
Acute Care Hospitals · Pikeville, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PIKEVILLE, KY 41501
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 Darlene Ellis's NPI number?
The NPI number for Darlene Ellis is 1922448398. It was assigned to this individual provider in the NPPES registry on July 1, 2013.
Where is Darlene Ellis located?
Darlene Ellis practices at 911 Bypass Rd Bldg A, Pikeville, KY 41501. The listed phone number is (606) 430-2212.
What is Darlene Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Darlene Ellis enrolled in Medicare?
Yes. Darlene 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 Darlene Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Ellis reassigns Medicare benefits to Pikeville Medical Center Inc. (Pikeville, KY). 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 Darlene Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Darlene Ellis accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Darlene 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.
Is Darlene Ellis affiliated with any hospitals?
According to CMS data, Darlene Ellis is affiliated with King's Daughters' Medical Center and Pikeville Medical Center.
When was this NPI record last updated?
The NPPES record for Darlene Ellis was last updated on September 22, 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.
# Darlene D Ellis, APRN · NPI 1922448398
Family physician in Pikeville, Kentucky. Individual provider, active in the CMS NPPES registry since July 1, 2013.
## Identity
- **NPI:** 1922448398 (Entity type: Individual)
- **Enumerated:** July 1, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 3008024 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 911 BYPASS RD BLDG A, Pikeville, KY 41501-1689
- **Phone:** (606) 430-2212 · **Fax:** (606) 433-0638
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pikeville Medical Center Inc. (NPI 1710207865, Pikeville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 22, 2022
- **Other identifiers:** Medicaid 7100263460 (KY)
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Source: [NPI Profile](https://npiprofile.com/npi/1922448398) · Data from the CMS NPPES public registry.