NPI age
19 years
Enumerated 2006-08-29
● Active
Type 1 · Individual
Kelley D Ellis, RNFA, CNOR
Ellis is 1 of 7 registered nurse providers in Fort Worth and 1 of 245 in Texas.
Primary specialty
Registered Nurse
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-02-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 245 active registered nurse providers in Texas.
NPI age
19 years
↑ 17 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
1900 Mistletoe Blvd Ste 200
Fort Worth, TX 761044049
Mailing address
1900 Mistletoe Blvd Ste 200
Fort Worth, TX 761044049
Specialties
-
Registered Nurse PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 89N921 | BCBS OF TX |
| 01 (TX) | 0672032 | CIGNA |
| 01 (TX) | 7521427 | AETNA |
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.