AUDIA L. ELLIS FNP
NPI 1962786640
Nurse Practitioner - Family in Charlotte, NC

Active since September 29, 2011PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
10210 COULOAK DR, STE E, CHARLOTTE, NC 28216(704) 801-2000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Sep 27, 2021 and 49 more (52 updates tracked since 2016).

About Audia L. Ellis Fnp NPPES

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

AUDIA L. ELLIS FNP (NPI 1962786640) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5007645) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1962786640
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAUDIA L. ELLISCredential: FNP
Location Address10210 COULOAK DR, STE ECharlotte, NC 28216-7679
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 29, 2011
Last NPPES UpdateJuly 15, 202452 updates tracked since enumeration
NPI 1962786640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5007645
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5007645 (NC)
10210 COULOAK DR, Charlotte, NC 28216

Secondary Practice Locations 4

Location 15727 Prosperity Crossing Dr, Ste 1100Charlotte, NC 28269-2206 · Phone (704) 863-9930
Location 27810 Providence Rd, Ste 102Charlotte, NC 28226-2954 · Phone (704) 543-6636
Location 3704 Gold Hill Rd, Ste 1200Fort Mill, SC 29715-8906 · Phone (704) 667-3380
Location 45717 Albemarle RdCharlotte, NC 28212-1634 · Phone (704) 563-2150

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

Audia L. Ellis Fnp 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 ID547434326
PECOS Enrollment IDI20150807014517, I20170104001322
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services67 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
18 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
17 services16 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28216 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Physician Assistant
10210 COULOAK DR, SUITE E
CHARLOTTE, NC 28216
Physician Assistant
10210 COULOAK DR, SUITE E
CHARLOTTE, NC 28216
Family Medicine
10210 COULOAK DR, SUITE E
CHARLOTTE, NC 28216
Nurse Practitioner
10210 COULOAK DR, SUITE E
CHARLOTTE, NC 28216
Family Medicine
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Physician Assistant
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Nurse Practitioner (Family)
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216
Physician Assistant
10210 COULOAK DR, STE E
CHARLOTTE, NC 28216

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 Audia Ellis's NPI number?

The NPI number for Audia Ellis is 1962786640. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Audia Ellis located?

Audia Ellis practices at 10210 Couloak Dr Ste E, Charlotte, NC 28216. The listed phone number is (704) 801-2000.

What is Audia Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Audia Ellis enrolled in Medicare?

Yes. Audia 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 Audia Ellis accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Audia 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.

Is Audia Ellis affiliated with any hospitals?

According to CMS data, Audia Ellis is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Audia Ellis was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.