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

Caroline Ellis

Individual provider Nurse Practitioner · NPI 1467045625

Caroline Ellis is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone: (484) 476-2580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 — (610) 402-6550

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP023078 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP023078 (PA)

Record details

NPI number1467045625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2021
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address3803 W Chester Pike Ste 160, Newtown Square, PA 19073-2336

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wynnewood