DR. ELAINA NELLIS (OD) – Optometrist, NPI 1639664154

DR. ELAINA NELLIS (OD) is a healthcare provider. based in New paltz, New York. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 008810 (NY). The NPI Number for DR. ELAINA NELLIS (OD) is 1639664154

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELAINA NELLIS (OD)
NPI
1639664154
Phone
(845) 255-6780
Address
12 NEW PALTZ PLZ
Enumeration Date
27 June 2018
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
8569838887
Graduation Year
2018 (8 years ago)
PAC ID
1052642170
Group Practice PAC ID
2961865332
Professional Enrollment ID
I20220106001997
Address ID
NJ080558806ME200XXRDXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,977 OPTOMETRY in NY

Provider Addresses for DR. ELAINA NELLIS (OD)

  • 12 NEW PALTZ PLZ

    NEW PALTZ, NY 125611616

    Phone: (845) 255-6780

    Type: Location

  • 1582 HAINESPORT MOUNT LAUREL RD

    MOUNT LAUREL, NJ 080549552

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $975.

Total Amount is formed as General ($975) + Research ($0) + Ownership ($0) = $975.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($700).

Total Amount

$975

General + Research + Ownership

Payments

16

Total payment records

General Amount

$975

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

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: 2022-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191003002417IOptometryNYTBD
I20220106001997IOptometryNJTBD

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
92250Photography of the retina4242$0
92014Established patient complete exam of visual system3030$0
View full utilization report →

Insurance plans in this area (ZIP 12561)

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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: 2961865332View full group profile
NameSpecialtyState
O P T O M E T R YNJ
O P T O M E T R YNJ
O P T O M E T R YNJ
O P T O M E T R YNJ

Reviews

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Frequently asked questions

What is DR. ELAINA NELLIS (OD)'s NPI number?
DR. ELAINA NELLIS (OD)'s NPI is 1639664154 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. ELAINA NELLIS (OD)?
You should see DR. ELAINA NELLIS (OD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. ELAINA NELLIS (OD)?
DR. ELAINA NELLIS (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ELAINA NELLIS (OD)?
Travel planning: use New Paltz, New York as the reference point for DR. ELAINA NELLIS (OD), then confirm.
Can I trust this NPI listing for DR. ELAINA NELLIS (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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