CATHERINE NICOLE ELLIS (APRN) – Nurse Practitioner, NPI 1487056974

CATHERINE NICOLE ELLIS (APRN) is a healthcare provider. based in Cincinnati, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3008943 (KY). The NPI Number for CATHERINE NICOLE ELLIS (APRN) is 1487056974

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE NICOLE ELLIS (APRN)
NPI
1487056974
Phone
(859) 344-5555
Address
PO BOX 635283
Enumeration Date
16 September 2014
Last Update Date
12 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8596359440
Graduation Year
2014 (12 years ago)
PAC ID
5294957676
Group Practice PAC ID
2163326240
Professional Enrollment ID
I20150810000301
Address ID
KY410010001AL300XXCIRC300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for CATHERINE NICOLE ELLIS (APRN)

  • PO BOX 635283

    CINCINNATI, OH 452635283

    Phone: (859) 344-5555

    Fax: (859) 344-5552

    Type: Mailing

  • 300 COMMERCIAL CIRCLE

    ALEXANDRIA, KY 410012107

    Phone: (859) 635-9440

    Fax: (859) 448-2622

    Type: Location

  • 1401 MADISON AVE

    COVINGTON, KY 410113313

    Phone: (859) 655-6100

    Fax: (859) 655-6148

    Type: Mailing

  • 103 LANDMARK DR

    BELLEVUE, KY 410731393

    Phone: (859) 655-6100

    Fax: (859) 655-6186

    Type: Location

  • 215 E 11th St

    Newport, KY 410712203

    Phone: (859) 655-6100

    Fax: (859) 655-6186

    Type: Location

  • 215 E 11TH ST

    NEWPORT, KY 410712203

    Phone: (859) 655-6100

    Fax: (859) 655-6148

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $430.

Total Amount is formed as General ($430) + Research ($0) + Ownership ($0) = $430.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Lilly USA, LLC ($207).

Total Amount

$430

General + Research + Ownership

Payments

17

Total payment records

General Amount

$430

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

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: 2015-08-10

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
I20150810000301INurse PractitionerKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45263)

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Provider's Procedures

CATHERINE NICOLE ELLIS (APRN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKY83036Hemoglobin A1C level1715

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: 2163326240View full group profile
NameSpecialtyState
Internal MedicineKY
Family PracticeOH
H O S P I T A L I S TOH
Family PracticeKY
Family PracticeOH
G A S T R O E N T E R O L O G YKY
-KY
Family PracticeOH
-FL
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the registry number for CATHERINE NICOLE ELLIS (APRN)?
The registry entry for CATHERINE NICOLE ELLIS (APRN) shows NPI 1487056974.
Does the public listing show CATHERINE NICOLE ELLIS (APRN) as active?
CATHERINE NICOLE ELLIS (APRN)'s NPI record reflects an active status in NPPES.
Which specialty label fits CATHERINE NICOLE ELLIS (APRN)?
NPPES ties CATHERINE NICOLE ELLIS (APRN) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to CATHERINE NICOLE ELLIS (APRN)?
The directory associates CATHERINE NICOLE ELLIS (APRN) with Cincinnati, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for CATHERINE NICOLE ELLIS (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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