PATRICK BOONE ELLIS D.O.
NPI 1982636809
Specialist in Norman, OK

Q: What is Patrick Ellis's NPI number?

The NPI number for Patrick Ellis is 1982636809. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Patrick Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: Is Patrick Ellis enrolled in Medicare?

No. Patrick Ellis has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Patrick Ellis was last updated on September 28, 2022. 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.

Active since July 07, 2006Opted out of Medicare · through Apr 1, 2028

226 W GRAY ST STE 214, NORMAN, OK 73069(405) 701-5666(405) 701-5667 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Patrick Boone Ellis D.o. NPPES

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

PATRICK BOONE ELLIS D.O. (NPI 1982636809) is an individual specialist in Norman, Oklahoma, licensed in Oklahoma (3351) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1982636809

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NamePATRICK BOONE ELLISCredential: D.O.

Location Address226 W GRAY ST STE 214Norman, OK 73069-7132

Mailing Address520 24th Ave S.w.Norman, OK 73069-5106 · (405) 701-5666 · Fax (405) 701-5667

Phone(405) 701-5666

Fax(405) 701-5667

Sole ProprietorYes

Enumeration DateJuly 7, 2006

Last NPPES UpdateSeptember 28, 2022

NPPES CertifiedSeptember 28, 2022

✔ NPI 1982636809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OK · 3351

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

226 W GRAY ST STE 214, Norman, OK 73069

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Other Identifiers 1

Medicaid100138180BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Patrick Boone Ellis D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Patrick Ellis's NPI number?

The NPI number for Patrick Ellis is 1982636809. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Patrick Ellis located?

Patrick Ellis practices at 226 W Gray St Ste 214, Norman, OK 73069. The listed phone number is (405) 701-5666.

What is Patrick Ellis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Patrick Ellis enrolled in Medicare?

No. Patrick Ellis has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Patrick Ellis accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Patrick 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 Patrick Ellis was last updated on September 28, 2022. 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.