MS. MICHELLE LORRAINE ELLIS (NP) – Nurse Practitioner, NPI 1700125663

MS. MICHELLE LORRAINE ELLIS (NP) is a healthcare provider. based in Denver, Colorado. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials NP. They hold a License No. 0062218 (CO). The NPI Number for MS. MICHELLE LORRAINE ELLIS (NP) is 1700125663

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. MICHELLE LORRAINE ELLIS (NP)
NPI
1700125663
Phone
(303) 388-9321
Address
4545 E 9th Ave
Enumeration Date
12 February 2013
Last Update Date
11 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9703103406
Graduation Year
2011 (15 years ago)
PAC ID
7416190095
Group Practice PAC ID
8628373651
Professional Enrollment ID
I20240920003650
Address ID
CO800334653WH4350XBLVD301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

2,207 MENTAL HEALTH COUNSELOR in CO

Provider Addresses for MS. MICHELLE LORRAINE ELLIS (NP)

  • 4545 E 9th Ave

    Ste 500

    Denver, CO 802203904

    Phone: (303) 388-9321

    Fax: (303) 388-3910

    Type: Location

  • 3701 S BROADWAY

    ENGLEWOOD, CO 801133611

    Phone: (303) 360-6276

    Fax: (303) 761-2787

    Type: Mailing

  • 15501 E 13TH AVE

    AURORA, CO 800117203

    Phone: (303) 360-6276

    Fax: (303) 343-1006

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Novo Nordisk Inc ($122).

Total Amount

$186

General + Research + Ownership

Payments

4

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

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: 2024-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20130903000025INurse PractitionerCOTBD
I20240920003650IMental Health CounselorCOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80220)

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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: 8628373651View full group profile

Reviews

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Frequently asked questions

Can I cross-check MS. MICHELLE LORRAINE ELLIS (NP) using NPI 1700125663?
NPI 1700125663 belongs to MS. MICHELLE LORRAINE ELLIS (NP); compare other details if you need extra assurance.
Would MS. MICHELLE LORRAINE ELLIS (NP) appear as active to a payer?
You can treat MS. MICHELLE LORRAINE ELLIS (NP) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MS. MICHELLE LORRAINE ELLIS (NP)'s focus?
For MS. MICHELLE LORRAINE ELLIS (NP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. MICHELLE LORRAINE ELLIS (NP)?
Directory geography for MS. MICHELLE LORRAINE ELLIS (NP) centers on Denver, Colorado.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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