ASHLEY RENEE WALKER-ELLIS (FNP-BC) – Family Nurse Practitioner, NPI 1104385335
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ASHLEY RENEE WALKER-ELLIS (FNP-BC)
34270 COUNTY HIGHWAY 13
PITTSFIELD, IL 623632508
Phone: (217) 779-3465
Type: Mailing
Washington Street, Waverley, Pittsfield, Somerset County, Maine, 04967, United States
PITTSFIELD, IL 623631350
Phone: (217) 285-2113
Type: Location
640 W Washington St
Pittsfield, IL 623631350
Phone: (217) 285-2113
Type: Location
601 W Business Loop 70 Ste 275
Columbia, MO 652032522
Phone: (573) 874-0008
Type: Location
900 W NIFONG BLVD STE 100
COLUMBIA, MO 652034469
Phone: (573) 815-6631
Type: Location
515 WESTERN DR
MACON, MO 635521041
Phone: (217) 779-3465
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-11-15
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 |
|---|---|---|---|---|
| I20211115002281 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 207 | 198 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 141 | 135 | $0 |
| 81003 | Automated urinalysis test | 56 | 56 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 54 | 52 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 24 | 21 | $0 |
Insurance plans in this area (ZIP 62363)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| Family Practice, Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| Nurse Practitioner | IL |
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