Dr. Kathryn M Ellis, APRN, DNP, PMHNP-BC
Nurse Practitioner, Psych/Mental Health in Chicago, IL. Individual provider (NPI-1).
NPI number1689223232
StatusActive
Last updated in NPPESOct 4, 2024
Details
- NPI
- 1689223232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kathryn M Ellis
- Credential
- APRN, DNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2019
- Certification date
- Oct 4, 2024
- Last updated
- Oct 4, 2024
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 |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 209024003 | IL | Yes |
Practice location
845 S Damen AveChicago, IL 60612-3727
Phone 312-996-7800
Mailing address
845 S Damen AveChicago, IL 60612-3727
Phone 312-996-7800
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