ELLEN RAY
NPI 1932880333
Nurse Practitioner - Pediatrics in Cottleville, MO
About Ellen Ray NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN RAY (NPI 1932880333) is an individual pediatrics provider in Cottleville, Missouri, licensed in Missouri (2023033858) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Ray is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ellen Ray reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ballwin, MO 63011
- Reassigned Medicare billing, Missouri enrollment
- 744 clinicians in this Medicare group
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 20 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ellen Ray's NPI number?
The NPI number for Ellen Ray is 1932880333. It was assigned to this individual provider in the NPPES registry on July 27, 2023.
Where is Ellen Ray located?
Ellen Ray practices at 4525 Mid Rivers Mall Dr Ste 10, Cottleville, MO 63376. The listed phone number is (636) 229-3350.
What is Ellen Ray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Ellen Ray enrolled in Medicare?
Yes. Ellen Ray is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ellen Ray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Ray reassigns Medicare benefits to 2 organizations: Mercy Clinic East Communities (Ballwin, MO) and Mercy Clinic Ent LLC (Washington, MO). 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 Ellen Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Ray accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Ellen Ray 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 Ellen Ray was last updated on August 31, 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.
# Ellen Ray · NPI 1932880333
Pediatrics physician in Cottleville, Missouri. Individual provider, active in the CMS NPPES registry since July 27, 2023.
## Identity
- **NPI:** 1932880333 (Entity type: Individual)
- **Enumerated:** July 27, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 2023033858 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 4525 MID RIVERS MALL DR STE 10, Cottleville, MO 63376-2820
- **Phone:** (636) 229-3350
## 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): Mercy Clinic East Communities (NPI 1700370061, Ballwin, MO); Mercy Clinic Ent LLC (NPI 1366705998, Washington, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1932880333) · Data from the CMS NPPES public registry.