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STEPHANIE ELLIS MSN
NPI 1942958673
Nurse Practitioner - Adult Health in Provo, UT

Active since March 11, 2022PECOS EnrolledAccepts Medicare Assignment
73.9/100
CMS Quality Rating
395 W COUGAR BLVD STE 104, PROVO, UT 84604(801) 357-8200(801) 357-8201 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Ellis Msn NPPES

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

STEPHANIE ELLIS MSN (NPI 1942958673) is an individual adult health provider in Provo, Utah, licensed in Utah (7558496-4405) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1942958673
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTEPHANIE ELLISCredential: MSN
Location Address395 W COUGAR BLVD STE 104Provo, UT 84604-3334
Mailing Address1121 E 3900 S Ste C230Salt Lake City, UT 84124-1297 · (801) 262-9494 · Fax (866) 415-6807
Phone(801) 357-8200
Fax(801) 357-8201
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 11, 2022
NPPES CertifiedMarch 11, 2022
✔ NPI 1942958673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in UT · 7558496-4405
395 W COUGAR BLVD STE 104, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.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

Stephanie Ellis Msn 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 ID5799162590
PECOS Enrollment IDI20220517002138
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

73.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61
Promoting Interoperability91
Improvement Activities40
Cost50.33

Other Providers at the Same Location NPPES

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

CHRISTIAN LOUIS BARNEY M.D.
Radiology (Radiation Oncology)
395 W COUGAR BLVD STE 104
PROVO, UT 84604
Utah County (801) 357-2480

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 Stephanie Ellis's NPI number?

The NPI number for Stephanie Ellis is 1942958673. It was assigned to this individual provider in the NPPES registry on March 11, 2022.

Where is Stephanie Ellis located?

Stephanie Ellis practices at 395 W Cougar Blvd Ste 104, Provo, UT 84604. The listed phone number is (801) 357-8200.

What is Stephanie Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephanie Ellis enrolled in Medicare?

Yes. Stephanie 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 Stephanie Ellis accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Stephanie 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 Stephanie Ellis was last updated on March 11, 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.