CANDICE ELLIS APRN
NPI 1922531011
Nurse Practitioner - Primary Care in South Portland, ME
About Candice Ellis Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDICE ELLIS APRN (NPI 1922531011) is an individual primary care provider in South Portland, Maine, licensed in Maine (CNP231278) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Candice Ellis Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Candice Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,360 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 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 5
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 04106 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH PORTLAND, ME 04106
SOUTH PORTLAND, ME 04106
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 Candice Ellis's NPI number?
The NPI number for Candice Ellis is 1922531011. It was assigned to this individual provider in the NPPES registry on April 6, 2017.
Where is Candice Ellis located?
Candice Ellis practices at 225 Gorham Rd Ste 200, South Portland, ME 04106. The listed phone number is (800) 757-3326.
What is Candice Ellis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Candice Ellis enrolled in Medicare?
Yes. Candice Ellis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Candice Ellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candice Ellis reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). Each 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 Candice 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 Candice Ellis was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Candice Ellis, APRN · NPI 1922531011
Primary Care physician in South Portland, Maine. Individual provider, active in the CMS NPPES registry since April 6, 2017.
## Identity
- **NPI:** 1922531011 (Entity type: Individual)
- **Enumerated:** April 6, 2017
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** CNP231278 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 GORHAM RD STE 200, South Portland, ME 04106-2462
- **Phone:** (800) 757-3326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922531011) · Data from the CMS NPPES public registry.