DR. DEBORA ELLIS (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003352196

DR. DEBORA ELLIS (APRN) is a healthcare provider. based in Palos heights, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 277.000609 (IL). The NPI Number for DR. DEBORA ELLIS (APRN) is 1003352196

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. DEBORA ELLIS (APRN)
NPI
1003352196
Phone
(708) 923-5173
Address
12251 S 80TH AVE
Enumeration Date
12 January 2017
Last Update Date
8 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154186070
Graduation Year
2016 (10 years ago)
PAC ID
9133402464
Group Practice PAC ID
2365662517
Professional Enrollment ID
I20170213001175
Address ID
IL604514833NE2081XDRXX303
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for DR. DEBORA ELLIS (APRN)

  • Palos Hospital, 12251, South 80th Avenue, Palos Heights, Palos Township, Cook County, Illinois, 60463, United States

    SUITE 1630

    PALOS HEIGHTS, IL 604631256

    Phone: (708) 923-5173

    Fax: (708) 923-5018

    Type: Mailing

  • 2081 CALISTOGA DR STE 2S

    NEW LENOX, IL 604514833

    Phone: (815) 418-6070

    Fax: (708) 923-5018

    Type: Mailing

  • 201 E OGDEN AVE STE 118

    HINSDALE, IL 605213776

    Phone: (630) 270-7717

    Fax: (779) 803-3119

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $236.

Total Amount is formed as General ($236) + Research ($0) + Ownership ($0) = $236.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: ABBVIE INC. ($56).

Total Amount

$236

General + Research + Ownership

Payments

11

Total payment records

General Amount

$236

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2017-02-13

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
I20170213001175INurse PractitionerILTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes11333$0
99213Established patient office or other outpatient visit, 20-29 minutes2311$0
View full utilization report →

Insurance plans in this area (ZIP 60463)

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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: 2365662517View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Neurology, PsychiatryIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Mental Health CounselorIL
Clinical Social WorkerIL
P S Y C H I A T R YIL

Reviews

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Frequently asked questions

Is DR. DEBORA ELLIS (APRN) listed with a National Provider Identifier?
Yes — DR. DEBORA ELLIS (APRN) has NPI 1003352196 on file in the registry.
Active or inactive — what applies to DR. DEBORA ELLIS (APRN)?
You should see DR. DEBORA ELLIS (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with DR. DEBORA ELLIS (APRN)?
DR. DEBORA ELLIS (APRN)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DEBORA ELLIS (APRN)?
Directory geography for DR. DEBORA ELLIS (APRN) centers on Palos Heights, Illinois.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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