KAREN L. ELLIS (RN, ANP-C) – Nurse Practitioner, NPI 1255341434
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAREN L. ELLIS (RN, ANP-C)
36 SANDELWOOD TRL
BEAUMONT, TX 777067855
Phone: (409) 651-2676
Type: Mailing
810 HOSPITAL DR STE 200
BEAUMONT, TX 777014654
Phone: (409) 212-5512
Fax: (409) 212-5898
Type: Location
3030, North Street, Beaumont, Jefferson County, Texas, 77702, United States
SUITE 560
BEAUMONT, TX 777021433
Phone: (409) 835-9834
Fax: (409) 835-7623
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $336.
Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: ABBVIE INC. ($91).
Total Amount
$336
General + Research + Ownership
Payments
15
Total payment records
General Amount
$336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-06-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050608000575 | I | Nurse Practitioner | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 266 | 64 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 129 | 42 | $0 |
| 97598 | Removal of tissue from wound, each additional 20.0 sq cm | 115 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 48 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 27 | 16 | $0 |
Insurance plans in this area (ZIP 77706)
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