MS. DEBORAH R ELLIS (RN NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1427098441
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
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Provider Addresses for MS. DEBORAH R ELLIS (RN NP)
PO BOX 609001
SAN DIEGO, CA 921609001
Phone: (619) 528-4600
Fax: (619) 528-4625
Type: Mailing
Emergency Room Entrance, 11201, Benton Street, Loma Linda, San Bernardino County, California, 92357, United States
LOMA LINDA, CA 923571000
Phone: (909) 583-6189
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: COLOPLAST CORP ($180).
Total Amount
$221
General + Research + Ownership
Payments
3
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| COLOPLAST CORP | $180 |
| ABBVIE INC. | $40 |
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: 2006-09-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060929000506 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 55 | 30 | $0 |
Insurance plans in this area (ZIP 92160)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | MA | |
| P S Y C H I A T R Y | CA | |
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | CA | |
| P S Y C H I A T R Y | CA |
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