MRS. ELIZABETH KAY ELLIS (APRN) – Family Nurse Practitioner, NPI 1982845939

MRS. ELIZABETH KAY ELLIS (APRN) is a healthcare provider. based in Sheridan, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A003208 (AR). The NPI Number for MRS. ELIZABETH KAY ELLIS (APRN) is 1982845939

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELIZABETH KAY ELLIS (APRN)
NPI
1982845939
Phone
(870) 942-1301
Address
109 W PINE ST STE A
Enumeration Date
19 March 2009
Last Update Date
21 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709421301
Graduation Year
2008 (18 years ago)
PAC ID
0244379881
Group Practice PAC ID
5890958482
Professional Enrollment ID
I20091120000306
Address ID
AR721505000SH651XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MRS. ELIZABETH KAY ELLIS (APRN)

  • 109 W PINE ST STE A

    SHERIDAN, AR 721502443

    Phone: (870) 942-1301

    Fax: (870) 942-1305

    Type: Mailing

  • 11001 EXECUTIVE CENTER DR STE 200

    LITTLE ROCK, AR 722114393

    Phone: (501) 227-0184

    Fax: (501) 227-0187

    Type: Mailing

  • 802 N UNIVERSITY AVE

    LITTLE ROCK, AR 722052920

    Phone: (501) 291-2322

    Fax: (888) 388-5166

    Type: Location

  • 651 HERITAGE DR

    SHERIDAN, AR 721505000

    Phone: (870) 942-1301

    Fax: (870) 942-1305

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $517.

Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novo Nordisk Inc ($72).

Total Amount

$517

General + Research + Ownership

Payments

30

Total payment records

General Amount

$517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091120000306INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample6356$0
99213Established patient office or other outpatient visit, 20-29 minutes5148$0
99214Established patient office or other outpatient visit, 30-39 minutes2422$0
96372Injection of drug or substance under skin or into muscle2117$0
81002Urinalysis, manual test1613$0
View full utilization report →

Insurance plans in this area (ZIP 72150)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890958482View full group profile
NameSpecialtyState
Nurse PractitionerAR
-AR
Nurse PractitionerAR

Reviews

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Frequently asked questions

How do payers reference MRS. ELIZABETH KAY ELLIS (APRN)?
For MRS. ELIZABETH KAY ELLIS (APRN), use NPI 1982845939 as the unique 10-digit identifier.
Is there an active status for MRS. ELIZABETH KAY ELLIS (APRN)?
For scheduling context, MRS. ELIZABETH KAY ELLIS (APRN) is shown as active in the registry.
How would a patient describe MRS. ELIZABETH KAY ELLIS (APRN)'s focus?
For MRS. ELIZABETH KAY ELLIS (APRN), the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. ELIZABETH KAY ELLIS (APRN) located near Sheridan?
MRS. ELIZABETH KAY ELLIS (APRN) currently maps to Sheridan, Arkansas in this extract.
Can I trust this NPI listing for MRS. ELIZABETH KAY ELLIS (APRN)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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