JOHN TYLER ELLERBEE (ARNP) – Adult Health Nurse Practitioner, NPI 1912372756

JOHN TYLER ELLERBEE (ARNP) is a healthcare provider. based in Marianna, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP 9303140 (FL). The NPI Number for JOHN TYLER ELLERBEE (ARNP) is 1912372756

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
JOHN TYLER ELLERBEE (ARNP)
NPI
1912372756
Phone
(850) 526-3434
Address
4215 E KELSON AVE
Enumeration Date
4 December 2015
Last Update Date
3 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8505263434
Graduation Year
2015 (11 years ago)
PAC ID
7315243235
Group Practice PAC ID
2264708031
Professional Enrollment ID
I20160302002038
Address ID
FL324466502MA4215XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JOHN TYLER ELLERBEE (ARNP)

  • 4215 E KELSON AVE

    MARIANNA, FL 32446

    Phone: (850) 526-3434

    Fax: (850) 526-7743

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $388.

Total Amount is formed as General ($388) + Research ($0) + Ownership ($0) = $388.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Novo Nordisk Inc ($388).

Total Amount

$388

General + Research + Ownership

Payments

28

Total payment records

General Amount

$388

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$388
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: 2016-03-02

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
I20160302002038INurse PractitionerFLTBD

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
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1411$0
View full utilization report →

Insurance plans in this area (ZIP 32446)

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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: 2264708031View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What NPI should I save for JOHN TYLER ELLERBEE (ARNP)?
Save NPI 1912372756 if you need a stable reference for JOHN TYLER ELLERBEE (ARNP).
Is JOHN TYLER ELLERBEE (ARNP) currently active in the NPI registry?
CMS-published data lists JOHN TYLER ELLERBEE (ARNP) as an active registrant.
What kind of provider is JOHN TYLER ELLERBEE (ARNP)?
The page reflects Adult Health Nurse Practitioner for JOHN TYLER ELLERBEE (ARNP). Clinical services aligned with this taxonomy classification.
Where does public data place JOHN TYLER ELLERBEE (ARNP)?
The snapshot lists Marianna, Florida for JOHN TYLER ELLERBEE (ARNP); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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