Robert Michael Ellis, NP

Nurse Practitioner, Family in Gilbert, AZ. Individual provider (NPI-1).

NPI number1902284599

StatusActive

Last updated in NPPESAug 7, 2025

Details

NPI: 1902284599
Entity type: Individual (NPI-1)
Name: Mr. Robert Michael Ellis
Credential: NP
Sex: Male
Sole proprietor: No
Enumeration date: May 14, 2015
Certification date: Sep 22, 2020
Last updated: Aug 7, 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
363LF0000X	Nurse Practitioner, Family	AP7834	AZ	Yes

Practice location

2946 E Banner Gateway Drive
Gilbert, AZ 85234

Phone 480-256-3359 · Fax 480-256-3359

Mailing address

2940 E Banner Gateway Drive
Gilbert, AZ 85234

Phone 480-256-6444 · Fax 480-256-3359

Is something wrong?

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Other Family Nurse Practitioner providers in Gilbert, AZ

All 307 Family Nurse Practitioner providers in Gilbert · All 7,856 providers in Gilbert

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