TERESA W ELLIS (APRN) – Family Nurse Practitioner, NPI 1619948569
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TERESA W ELLIS (APRN)
227 Falcon Dr Ste 104
MT Sterling, KY 403539792
Phone: (859) 497-5459
Type: Location
PO BOX 936
LONDON, KY 407430936
Phone: (606) 330-7835
Fax: (606) 330-7825
Type: Mailing
740 S LIMESTONE STE J107
LEXINGTON, KY 405369792
Phone: (859) 323-5603
Fax: (859) 323-3704
Type: Location
800, Rose Street, Academic Core, Lexington, Fayette County, Kentucky, 40506, United States
UNIVERSITY OF KENTUCKY DEPT OF ANESTHESIOLOGY
LEXINGTON, KY 405367001
Phone: (859) 323-5956
Fax: (859) 323-1080
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,232.
Total Amount is formed as General ($1,232) + Research ($0) + Ownership ($0) = $1,232.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($402).
Total Amount
$1,232
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,232
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $402 |
| Janssen Biotech, Inc. | $183 |
| AngioDynamics, Inc. | $117 |
| GENZYME CORPORATION | $103 |
| Takeda Pharmaceuticals U.S.A., Inc. | $96 |
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: 2012-10-09
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 |
|---|---|---|---|---|
| I20121009000130 | I | Nurse Practitioner | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40353)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | AR | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| - | KY |
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