NANCY LYNNE ELLIS (M.D.) – Diagnostic Radiology Physician, NPI 1366564809

NANCY LYNNE ELLIS (M.D.) is a healthcare provider. based in Collierville, Tennessee. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 09608 (MS). The NPI Number for NANCY LYNNE ELLIS (M.D.) is 1366564809

Main info

Female
Sole Proprietor
45 Years Of Experience
Accepts Medicare Assignment
Name
NANCY LYNNE ELLIS (M.D.)
NPI
1366564809
Phone
(901) 860-0687
Address
939 SNOWDEN FARM RD
Enumeration Date
4 April 2007
Last Update Date
21 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
8655840291
Graduation Year
1981 (45 years ago)
PAC ID
7214841931
Group Practice PAC ID
2860429099
Professional Enrollment ID
I20070831000617
Address ID
TN379092457KN1400XBLVD403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,081 DIAGNOSTIC RADIOLOGY in TN

Provider Addresses for NANCY LYNNE ELLIS (M.D.)

  • 939 SNOWDEN FARM RD

    COLLIERVILLE, TN 380178988

    Phone: (901) 860-0687

    Fax: (901) 850-8489

    Type: Location

  • 1400 DOWELL SPRINGS BLVD STE 200

    KNOXVILLE, TN 379092457

    Phone: (865) 584-0291

    Fax: (865) 584-4426

    Type: Location

  • 939 Snowden Farm Rd

    Collierville, TN 380178988

    Phone: (901) 860-0687

    Fax: (901) 850-8489

    Type: Location

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: 2007-08-31

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
I20070831000617IDiagnostic RadiologyTNTBD

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
77067Screening mammography553553$0
77063Screening 3d breast mammography533532$0
76641Complete ultrasound scan of 1 breast408407$0
77080Dxa bone density measurement of hip, pelvis, spine6464$0
76982Ultrasound scan of growth for measuring elasticity, first growth2222$0
View full utilization report →

Insurance plans in this area (ZIP 38017)

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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: 2860429099View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Diagnostic RadiologyWI
Diagnostic RadiologyNE
Diagnostic RadiologyWI
-TN

Reviews

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Frequently asked questions

Is there an official ID for NANCY LYNNE ELLIS (M.D.) in U.S. healthcare records?
The official identifier for NANCY LYNNE ELLIS (M.D.) is NPI 1366564809.
Active or inactive — what applies to NANCY LYNNE ELLIS (M.D.)?
You should see NANCY LYNNE ELLIS (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe NANCY LYNNE ELLIS (M.D.)'s focus?
For NANCY LYNNE ELLIS (M.D.), the primary taxonomy reads as Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NANCY LYNNE ELLIS (M.D.)?
Travel planning: use Collierville, Tennessee as the reference point for NANCY LYNNE ELLIS (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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