NATHANAEL ELLIS NP
NPI 1932454055
Nurse Practitioner in Florence, KY

Active since July 14, 2012PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
4900 HOUSTON RD, FLORENCE, KY 41042(859) 212-5441 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Dec 1, 2022, Jul 24, 2020 and 1 more (4 updates tracked since 2018).

About Nathanael Ellis Np NPPES

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

NATHANAEL ELLIS NP (NPI 1932454055) is an individual nurse practitioner in Florence, Kentucky, licensed in Ohio (APRN.CNP.13515) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1932454055
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameNATHANAEL ELLISCredential: NP
Location Address4900 HOUSTON RDFlorence, KY 41042-4824
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 245-3600 · Fax (513) 245-3672
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 14, 2012
Last NPPES UpdateJuly 19, 20234 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
NPI 1932454055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in OH · APRN.CNP.13515 Licensed in KY · 3012203
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 332898 (OH), 28202989A (IN)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 71004030A (IN), COA.13515-NP (OH)
4900 HOUSTON RD, Florence, KY 41042

Secondary Practice Locations 3

Location 12139 Auburn AveCincinnati, OH 45219-2906 · Phone (513) 585-2235
Location 21 Medical Village DrEdgewood, KY 41017-3403 · Phone (859) 301-2250
Location 3234 Goodman StCincinnati, OH 45219-2364 · Phone (513) 558-5281 · Fax (513) 558-5791

Other Identifiers 1

Medicaid7100302330KY

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

Nathanael 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.

PECOS PAC ID1759539935
PECOS Enrollment IDI20141020002665, I20221212001407
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
23 services23 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.64
Improvement Activities40

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.

Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Internal Medicine (Gastroenterology)
4900 HOUSTON RD
FLORENCE, KY 41042
Registered Nurse
4900 HOUSTON RD
FLORENCE, KY 41042
Nurse Practitioner
4900 HOUSTON RD
FLORENCE, KY 41042
Nurse Practitioner
4900 HOUSTON RD
FLORENCE, KY 41042
Physician Assistant
4900 HOUSTON RD
FLORENCE, KY 41042

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 Nathanael Ellis's NPI number?

The NPI number for Nathanael Ellis is 1932454055. It was assigned to this individual provider in the NPPES registry on July 14, 2012.

Where is Nathanael Ellis located?

Nathanael Ellis practices at 4900 Houston Rd, Florence, KY 41042. The listed phone number is (859) 212-5441.

What is Nathanael Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nathanael Ellis enrolled in Medicare?

Yes. Nathanael 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 Nathanael Ellis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Oscar Health Insurance list Nathanael 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 Nathanael Ellis was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.