MATTHEW RYAN ELLIS (RN, AG-ACNP) – Acute Care Nurse Practitioner, NPI 1063140820

MATTHEW RYAN ELLIS (RN, AG-ACNP) is a healthcare provider. based in Amarillo, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, AG-ACNP. They hold a License No. 1089531 (TX). The NPI Number for MATTHEW RYAN ELLIS (RN, AG-ACNP) is 1063140820

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW RYAN ELLIS (RN, AG-ACNP)
NPI
1063140820
Phone
(806) 702-0777
Address
2223 S HUGHES ST
Enumeration Date
10 August 2022
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8064149558
Graduation Year
2022 (4 years ago)
PAC ID
0648655795
Group Practice PAC ID
9234037847
Professional Enrollment ID
I20220910000144
Address ID
TX791061786AM1400XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MATTHEW RYAN ELLIS (RN, AG-ACNP)

  • 2223 S HUGHES ST

    AMARILLO, TX 791092213

    Phone: (806) 702-0777

    Type: Mailing

  • 1400 S COULTER ST

    AMARILLO, TX 791061786

    Phone: (806) 414-9558

    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: 2022-09-10

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
I20220910000144INurse PractitionerTXTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes9869$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6646$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4646$0
99239Hospital discharge day management, more than 30 minutes4242$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 79109)

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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: 9234037847View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX
-TX
Pulmonary Disease, Critical Care (Intensivists)TX
-TX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeTX
Nurse PractitionerKS
Pediatric MedicineTX

Reviews

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Frequently asked questions

Does MATTHEW RYAN ELLIS (RN, AG-ACNP) have a public NPI I can cite?
Public records show MATTHEW RYAN ELLIS (RN, AG-ACNP) under NPI 1063140820.
Quick check: is MATTHEW RYAN ELLIS (RN, AG-ACNP) active?
Public NPPES data shows MATTHEW RYAN ELLIS (RN, AG-ACNP) with an active NPI status right now.
What type of care does MATTHEW RYAN ELLIS (RN, AG-ACNP) provide?
MATTHEW RYAN ELLIS (RN, AG-ACNP)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit MATTHEW RYAN ELLIS (RN, AG-ACNP) in Amarillo, Texas?
For routing, start with Amarillo, Texas for MATTHEW RYAN ELLIS (RN, AG-ACNP), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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