Carrie Susanne Ellis, AGACNP
Carrie Susanne Ellis, AGACNP is a Nurse Practitioner in Newport Beach, California. Qualified in 2024, 2 years ago. Licensed in California.
- Years since qualifying
- 2
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
1 Hoag DrNewport Beach, CA 92663-4162
Phone: (949) 764-5588
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Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 95030685 (CA) |
|---|
Record details
| NPI number | 1376372557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP |
| Sole proprietor | No |
| NPI enumerated | July 29, 2024 |
| Last updated in NPPES | January 21, 2026 |
| Certification date | January 21, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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Mrs. Jean Nepomuceno Carlos, NP
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Melissa Davis
1 Hoag Dr, Newport Beach, CA 92663-4162 · (949) 764-4624
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Allison Renee Fleming, NP
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Mrs. Denise Fortenberry Fortenberry-Gratias, ACNP-C
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Raymund Lu, NP
1 Hoag Dr, Newport Beach, CA 92663-4162 · (669) 336-2032