KIMBERLY ELLIS APRN
NPI 1972191195
Nurse Practitioner - Family in Williamson, WV

Q: What is Kimberly Ellis's NPI number?

The NPI number for Kimberly Ellis is 1972191195. It was assigned to this individual provider in the NPPES registry on January 4, 2021.

Q: What is Kimberly Ellis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ellis was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 04, 2021PECOS Enrolled

104 LOGAN ST, WILLIAMSON, WV 25661(304) 236-5902(304) 235-8150 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kimberly Ellis Aprn NPPES

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

KIMBERLY ELLIS APRN (NPI 1972191195) is an individual family provider in Williamson, West Virginia, licensed in West Virginia (44540) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972191195

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY ELLISCredential: APRN

Location Address104 LOGAN STWilliamson, WV 25661-3606

Mailing Address104 Logan StWilliamson, WV 25661-3606 · (304) 236-5902 · Fax (304) 235-8150

Phone(304) 236-5902

Fax(304) 235-8150

Sole ProprietorYes

Enumeration DateJanuary 4, 2021

NPPES CertifiedJanuary 4, 2021

✔ NPI 1972191195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WV · 44540

104 LOGAN ST, Williamson, WV 25661

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter 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 (PECOS)

Kimberly Ellis Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 25661 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

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.

JOSHUA TOLBERT MCCOY PRSS

Peer Specialist