Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amber Ellis

Individual provider Nurse Practitioner · NPI 1750940847

Amber Ellis is a Nurse Practitioner in Clayton, North Carolina. Qualified in 2019, 7 years ago. Practices with Wake Specialty Physicians LLC, a 178-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and North Carolina.

Years since qualifying
7
Licensed in
FL, NC
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

12701 US 70W
Clayton, NC 27520-2195
Phone: (919) 235-1968
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6888 Brompton Dr, Lakeland, FL 33809-3388 — (704) 249-7674
  • 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 — (919) 235-6410

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5012261 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5012261 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F06190711 (FL)

Record details

NPI number1750940847
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESDecember 5, 2022
Certification dateDecember 1, 2022
Mailing addressPo Box 602195, Charlotte, NC 28260-2195

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wake Specialty Physicians Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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