MS. KATHERINE DIANE ELLIS (CNM) – Advanced Practice Midwife, NPI 1720295652

MS. KATHERINE DIANE ELLIS (CNM) is a healthcare provider. based in Gainesville, Texas. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 654072 (TX). The NPI Number for MS. KATHERINE DIANE ELLIS (CNM) is 1720295652

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHERINE DIANE ELLIS (CNM)
NPI
1720295652
Phone
(940) 612-8750
Address
801 N GRAND AVE
Enumeration Date
17 May 2007
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
4385701366
Group Practice PAC ID
6002150729
Professional Enrollment ID
I20090318000338
Address ID
TX762402007GA1902XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

200 CERTIFIED NURSE MIDWIFE (CNM) in TX

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Provider Addresses for MS. KATHERINE DIANE ELLIS (CNM)

  • 801, North Grand Avenue, Gainesville, Cooke County, Texas, 76240, United States

    GAINESVILLE, TX 762403573

    Phone: (940) 612-8750

    Fax: (940) 665-3048

    Type: Mailing

  • South Mayhill Road, Mayhill, Denton, Denton County, Texas, 76208, United States

    DENTON, TX 762085910

    Phone: (940) 591-6700

    Fax: (940) 320-1220

    Type: Location

  • 1900 HOSPITAL BLVD

    GAINESVILLE, TX 762402002

    Phone: (940) 665-1751

    Type: Mailing

  • 1902 HOSPITAL BLVD

    GAINESVILLE, TX 762402007

    Phone: (940) 612-8750

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Exeltis, USA Inc. ($53).

Total Amount

$83

General + Research + Ownership

Payments

5

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2009-03-18

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
I20090318000338ICertified Nurse Midwife (Cnm)TXTBD

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 76240)

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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: 6002150729View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Orthopedic SurgeryTX
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
Family Practice, Obstetrics/GynecologyTX
Orthopedic SurgeryTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What NPI should I save for MS. KATHERINE DIANE ELLIS (CNM)?
Save NPI 1720295652 if you need a stable reference for MS. KATHERINE DIANE ELLIS (CNM).
Is MS. KATHERINE DIANE ELLIS (CNM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MS. KATHERINE DIANE ELLIS (CNM)'s specialty in plain language?
Clinically, the directory lists MS. KATHERINE DIANE ELLIS (CNM) with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where is MS. KATHERINE DIANE ELLIS (CNM)'s primary listing?
We display Gainesville, Texas because that is what the record indicates for MS. KATHERINE DIANE ELLIS (CNM).
Is MS. KATHERINE DIANE ELLIS (CNM) a real provider?
This page reflects official NPPES data for NPI 1720295652. Always confirm identity and privileges with the practice and licensing boards.

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