Carol A Ellis, NPC - Nurse Practitioner in Lewiston, ID

Carol A Ellis, NPC is a Nurse Practitioner - Adult Health based in Lewiston, Idaho. Carol A Ellis is licensed to practice in Idaho (license number NP-825A) and her current practice location is 2315 8th St, Lewiston, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 746-1383.

NPI number for Carol A Ellis is 1194919647 and her current mailing address is 2315 8th St, Lewiston, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194919647.

Contact Information

Carol A Ellis, NPC
2315 8th St,
Lewiston, ID 83501-7301
(208) 746-1383
(208) 746-6348



Provider's Profile

Full NameCarol A Ellis
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location2315 8th St, Lewiston, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194919647
  • Provider Enumeration Date: 08/28/2007
  • Last Update Date: 03/08/2016

Medical Identifiers

Medical identifiers for Carol A Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194919647NPI-NPPES
807875800OtherIDHEATHLY CONNECTIONS
1341036OtherDMERC
807875800MedicaidID
NPZA5OtherIDBLUE CROSS
000010005325OtherIDREGENCE BLUESHIELD
0226013OtherWALABOR & INDUSTRIES
9654294MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health NP-825A (Idaho)Primary
363L00000XNurse Practitioner AP30007996 (Washington)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carol A Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carol A Ellis, NPC
2315 8th St,
Lewiston, ID 83501-7301

Ph: (208) 746-1383
Carol A Ellis, NPC
2315 8th St,
Lewiston, ID 83501-7301

Ph: (208) 746-1383

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› Verified 9 days ago


Nurse Practitioner Nurses in Lewiston, ID

Mrs. Nicole M Engledow, ARPN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 500 8th Ave, Lewiston, ID 83501
Phone: 208-792-2685    Fax: 208-792-2882
Susan P Stutzman, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 215 10th St, Lewiston, ID 83501
Phone: 208-799-3100    Fax: 208-799-0349
Anita Ringering, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 336 Warner Dr, Ste 4, Lewiston, ID 83501
Phone: 208-413-3835    
Robert Scott Mahal, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2315 8th St, Lewiston, ID 83501
Phone: 208-746-1383    Fax: 208-746-6348
Spencer Godfrey,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1203 Idaho St, Lewiston, ID 83501
Phone: 208-848-8300    
Tracy Streibick Flynn, FNP, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1203 Idaho St, Lewiston, ID 83501
Phone: 208-848-8300    
Tayler Lyndsey Holman, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3428 5th St, Lewiston, ID 83501
Phone: 509-552-6674    

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