Michelle Lynn Ellis
Nurse Practitioner in Hickory, NC. Individual provider (NPI-1).
NPI number1093679524
StatusActive
Last updated in NPPESDec 11, 2025
Details
- NPI
- 1093679524
- Entity type
- Individual (NPI-1)
- Name
- Michelle Lynn Ellis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2025
- Certification date
- Dec 11, 2025
- Last updated
- Dec 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F11250688 | NC | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | F11250688 | NC |
Practice location
915 Tate Blvd Se Ste 182Hickory, NC 28602-4042
Phone 828-569-2880 · Fax 828-569-1565
Mailing address
915 Tate Blvd Se Ste 182Hickory, NC 28602-4042
Phone 828-569-2880 · Fax 828-569-1565
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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