NPI age
18 years
Enumerated 2007-08-28
● Active
Type 1 · Individual
Carol A Ellis, NPC
Ellis is 1 of 1 nurse practitioner providers in Lewiston and 1 of 56 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-03-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 56 active nurse practitioner providers in Idaho.
NPI age
18 years
↑ 5 yr above median (13 yr)
State licenses
2 states
Top 64% — 35% of peers are multi-state
Subspecialties
1
In the 66% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Practice location
2315 8th St
Lewiston, ID 835017301
Mailing address
2315 8th St
Lewiston, ID 835017301
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 807875800 | HEATHLY CONNECTIONS |
| 01 | 1341036 | DMERC |
| 05 (ID) | 807875800 | |
| 01 (ID) | NPZA5 | BLUE CROSS |
| 01 (ID) | 000010005325 | REGENCE BLUESHIELD |
| 01 (WA) | 0226013 | LABOR & INDUSTRIES |
| 05 (WA) | 9654294 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 56 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.