KYLIE ALYSSA ELLIS (APRN) – Acute Care Nurse Practitioner, NPI 1457984361
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for KYLIE ALYSSA ELLIS (APRN)
743 SPRING ST NE
GAINESVILLE, GA 305013715
Phone:
Type: Mailing
795 POPLAR RD STE 400
NEWNAN, GA 302652590
Phone: (770) 716-0051
Type: Mailing
6507 Professional Pl
Riverdale, GA 302744941
Phone: (404) 251-2850
Type: Location
6507 PROFESSIONAL PL
RIVERDALE, GA 302744941
Phone: (404) 251-2850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $456.
Total Amount is formed as General ($456) + Research ($0) + Ownership ($0) = $456.
Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($212).
Total Amount
$456
General + Research + Ownership
Payments
23
Total payment records
General Amount
$456
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-01-06
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 |
|---|---|---|---|---|
| I20230106002491 | I | Nurse Practitioner | CO | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 54 | 41 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 30501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | CO | |
| Internal Medicine | TX | |
| Nurse Practitioner | CO | |
| - | CO | |
| - | CO | |
| Cardiovascular Disease (Cardiology) | VA | |
| Physician Assistant | CO | |
| Physician Assistant | WV | |
| Internal Medicine | NJ | |
| - | CO |
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