MRS. KELLY ELIZABETH ELLIS APN, CNM
NPI 1962705103
Advanced Practice Midwife in Columbus, OH

Active since December 09, 2010PECOS Enrolled
5000 E MAIN ST, COLUMBUS, OH 43213(614) 235-5555(614) 536-1994 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2025, Dec 15, 2025, Mar 31, 2025 and 2 more (5 updates tracked since 2019).

About Mrs. Kelly Elizabeth Ellis Apn, Cnm NPPES

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

MRS. KELLY ELIZABETH ELLIS APN, CNM (NPI 1962705103) is an individual advanced practice midwife in Columbus, Ohio, licensed in Illinois (209008508) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Granville, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1962705103
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMRS. KELLY ELIZABETH ELLISCredential: APN, CNM
Location Address5000 E MAIN STColumbus, OH 43213-2440
Mailing Address5000 E Main StColumbus, OH 43213-2440 · (614) 235-5555 · Fax (614) 536-1994
Fax(614) 536-1994
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 9, 2010
Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1962705103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in IL · 209008508
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
5000 E MAIN ST, Columbus, OH 43213

Secondary Practice Location 1

Location 1124 S Main St Unit AGranville, OH 43023-1409 · Phone (740) 279-3990 · Fax (740) 212-8368

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)

Mrs. Kelly Elizabeth Ellis Apn, Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719123330
PECOS Enrollment IDI20260130001168
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Ellis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
5000 E MAIN ST
Whitehall, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 55 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
14 LAKE ST
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 221 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 43213 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist
5000 E MAIN ST
COLUMBUS, OH 43213
Nurse Practitioner (Family)
5000 E MAIN ST
COLUMBUS, OH 43213
Nurse Practitioner (Psychiatric/Mental Health)
5000 E MAIN ST
WHITEHALL, OH 43213
Nurse Practitioner (Family)
5000 E MAIN ST
COLUMBUS, OH 43213
Internal Medicine
5000 E MAIN ST
COLUMBUS, OH 43213
Family Medicine
5000 E MAIN ST
COLUMBUS, OH 43213
Nurse Practitioner (Women's Health)
5000 E MAIN ST
COLUMBUS, OH 43213
Clinic/Center (Federally Qualified Health Center (FQHC))
5000 E MAIN ST
WHITEHALL, OH 43213

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 Kelly Ellis's NPI number?

The NPI number for Kelly Ellis is 1962705103. It was assigned to this individual provider in the NPPES registry on December 9, 2010.

Where is Kelly Ellis located?

Kelly Ellis practices at 5000 E Main St, Columbus, OH 43213. The listed phone number is (614) 235-5555.

What is Kelly Ellis's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Kelly Ellis enrolled in Medicare?

Yes. Kelly Ellis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Ellis reassigns Medicare benefits to 2 organizations: Heart Of Ohio Family Health Centers (Whitehall, OH) and Pcc Community Wellness Center (Oak Park, IL). 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 Kelly Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, Oscar Health and Oscar Health Insurance list Kelly 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 Kelly Ellis was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.