MRS. TISHA KIM ELLIS (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1164058723

Psychiatric/Mental Health Nurse Practitioner

MRS. TISHA KIM ELLIS (APRN, PMHNP-BC) is a healthcare provider. based in Nebraska city, Nebraska. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. 113116 (NE). The NPI Number for MRS. TISHA KIM ELLIS (APRN, PMHNP-BC) is 1164058723

Main info

Female

Sole Proprietor

7 Years Of Experience

Accepts Medicare Assignment

Name

MRS. TISHA KIM ELLIS (APRN, PMHNP-BC)

NPI

1164058723

Phone

(402) 713-0110

Address

1120 6TH CORSO

Enumeration Date

16 March 2020

Last Update Date

8 August 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7123282609

Graduation Year

2019 (7 years ago)

PAC ID

5496186595

Group Practice PAC ID

1850285255

Professional Enrollment ID

I20200716004163

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience36

Completeness85

Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for MRS. TISHA KIM ELLIS (APRN, PMHNP-BC)

1120 6TH CORSO
NEBRASKA CITY, NE 684102747
Phone: (402) 713-0110
Fax: (402) 713-0285
Type: Mailing
1650 COCHRANE CIR
FORT CARSON, CO 809134613
Phone: (719) 526-0175
Fax: (719) 526-2452
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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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
99214	Established patient office or other outpatient visit, 30-39 minutes	17	11	$0

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Insurance plans in this area (ZIP 68410)

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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: 1850285255View full group profile

Name	Specialty	State
KIM GROENJES (APRN)	-	NE
BRIDGET DANIELLE MOSTEK (LIMHP)	Mental Health Counselor	NE
JOHN M RAMSEY (APRN)	-	NE
NAOKO MASUDA (LICSW, LIMHP, LADC)	Clinical Social Worker	NE
DR. CRYSTAL DAWN REYELTS (MD)	-	NE
DR. ELIZABETH HENDERSON DEOREO (MD)	P S Y C H I A T R Y	OH
CHEILA MARIE DITZLER (APRN)	Nurse Practitioner	NE
ANDREW HERNANDEZ	Nurse Practitioner	NE
MR. MARK J. DIERCKS (M.D.)	P S Y C H I A T R Y	NE
MICHAEL EGGER (M.D.)	-	NE

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Frequently asked questions

What federal number belongs to MRS. TISHA KIM ELLIS (APRN, PMHNP-BC)?

The federal identifier for MRS. TISHA KIM ELLIS (APRN, PMHNP-BC) is NPI 1164058723.

Is MRS. TISHA KIM ELLIS (APRN, PMHNP-BC)'s NPI currently valid?

The extract we use shows MRS. TISHA KIM ELLIS (APRN, PMHNP-BC) as active.

What does MRS. TISHA KIM ELLIS (APRN, PMHNP-BC) treat or focus on?

Patients typically see MRS. TISHA KIM ELLIS (APRN, PMHNP-BC) under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.

What location metadata exists for MRS. TISHA KIM ELLIS (APRN, PMHNP-BC)?

The page summarizes Nebraska City, Nebraska for MRS. TISHA KIM ELLIS (APRN, PMHNP-BC); expand the address list for detail.

What if Nebraska City, Nebraska seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.