Kelley D. Ellis, RNFA, CNOR
NPI 1073622858ActiveIndividual· Registered Nurse, Medical-Surgical· Fort Worth, TX
Registered Nurse, Medical-Surgical (RNFA, CNOR) in Fort Worth, Texas, licensed in TX, with an NPI issued in August 2006. Part D covered 47 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1073622858 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RNFA, CNOR |
| Sole proprietor | No |
| NPI issued | Aug 29, 2006 |
| Last updated in NPPES | Feb 4, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Registered Nurse, Medical-Surgical Primary | 163WM0705X | 551667 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 47 · 67 30-day fills |
|---|---|
| Patients | 25 |
| Total drug cost | $594.55 |
| Generic share | 100% of claims |
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