Simon Adriane Ellis, CNM - Medicare Advanced Practice Midwife in Seattle, WA

Simon Adriane Ellis, CNM is a medicare enrolled "Advanced Practice Midwife" in Seattle, Washington. Her current practice location is 310 15th Ave E, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 326-3000.

Simon Adriane Ellis is licensed to practice in Washington (license number AP60314067) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1720332869.

Contact Information

Simon Adriane Ellis, CNM
310 15th Ave E,
Seattle, WA 98112-5103
(206) 326-3000
Not Available



Provider's Profile

Full NameSimon Adriane Ellis
GenderFemale
SpecialityAdvanced Practice Midwife
Location310 15th Ave E, Seattle, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720332869
  • Provider Enumeration Date: 10/26/2012
  • Last Update Date: 04/28/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840598850
  • Enrollment ID: I20160407000808

Medical Identifiers

Medical identifiers for Simon Adriane Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720332869NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife AP60314067 (Washington)Primary

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. Simon Adriane Ellis allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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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. Simon Adriane 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
Simon Adriane Ellis, CNM
310 15th Ave E,
Seattle, WA 98112-5103

Ph: (206) 326-3000
Simon Adriane Ellis, CNM
310 15th Ave E,
Seattle, WA 98112-5103

Ph: (206) 326-3000

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Advanced Practice Midwife Nurses in Seattle, WA

Noelle D Brodeur, CNM, ARNP
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1101 Madison St Ste 700, Seattle, WA 98104
Phone: 206-215-6300    Fax: 206-215-6301
Victoria G Speck, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 5350 Tallman Ave Nw Ste 420, Seattle, WA 98107
Phone: 206-781-6161    Fax: 206-781-6285
Aliscia Rose Lindeke, CNM, RN
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 401 Broadway, Suite 2075, Seattle, WA 98104
Phone: 206-744-1600    
Deborah Blue, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 10330 Meridian Ave N, Suite 190, Seattle, WA 98133
Phone: 206-368-6670    
Megan Kathleen Dunn, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1550 N 115th St, Seattle, WA 98133
Phone: 206-520-5000    
Kimberly A Kight Johansen, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1959 Ne Pacific St., Seattle, WA 98195
Phone: 206-520-5000    
Mia Elizabeth Pelt, RN, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 5350 Tallman Ave Nw, Suite 420, Seattle, WA 98107
Phone: 206-781-6080    

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