Mary Ellis, - Medicare Nurse Practitioner in Fremont, NE

Mary Ellis, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fremont, Nebraska. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Methodist Fremont Health and her current practice location is 2560 N Healthy Way, Fremont, Nebraska. You can reach out to her office (for appointments etc.) via phone at (029) 417-2454.

Mary Ellis is licensed to practice in Nebraska (license number 113044) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790105948.

Contact Information

Mary Ellis,
2560 N Healthy Way,
Fremont, NE 68025-2315
(029) 417-2454
(402) 941-7244



Provider's Profile

Full NameMary Ellis
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location2560 N Healthy Way, Fremont, Nebraska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mary Ellis graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1790105948
  • Provider Enumeration Date: 04/25/2014
  • Last Update Date: 08/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204262363
  • Enrollment ID: I20200208000074

Medical Identifiers

Medical identifiers for Mary Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790105948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 55813 (Nebraska)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 113044 (Nebraska)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Methodist Fremont Health791125852067

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mary Ellis allows following entities to bill medicare on her behalf.
Entity NameMethodist Fremont Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235618216
PECOS PAC ID: 7911258520
Enrollment ID: O20181017000110

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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. Mary Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary Ellis,
825 S 169th St Fl 3,
Omaha, NE 68118-9300

Ph: (402) 354-4822
Mary Ellis,
2560 N Healthy Way,
Fremont, NE 68025-2315

Ph: (029) 417-2454

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Nurse Practitioner Nurses in Fremont, NE

Emily Nicole Johnson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 750 E 29th St, Fremont, NE 68025
Phone: 402-753-2900    
Claire Montoya, DNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 350 W 23rd St, Fremont, NE 68025
Phone: 402-721-7077    Fax: 402-721-7324
Zachary Beerman, APRN (PMHNP)
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2560 N Healthy Way, Fremont, NE 68025
Phone: 402-941-7245    
Mrs. Kimberly D Mueller,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1240 E 23rd St, Fremont, NE 68025
Phone: 402-815-9741    
Amanda Nicole Esterling, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 220 E 22nd St, Fremont, NE 68025
Phone: 402-727-5500    Fax: 402-727-6047
Megan Grote, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 450 E 23rd St, Fremont, NE 68025
Phone: 402-941-7030    Fax: 402-941-7032
Amber Christine Juricek, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 680 E Fremont Medical Park Dr, Fremont, NE 68025
Phone: 402-727-1091    

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