Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colleen Mary Ellis, FNP-C

Individual provider Family Nurse Practitioner · NPI 1568053676

Colleen Mary Ellis, FNP-C is a Nurse Practitioner in Tucson, Arizona. Qualified in 2020, 6 years ago. Practices with Alaska Native Tribal Health Consortium, a 603-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3662 W Ina Rd Ste 150
Tucson, AZ 85741-2269
Phone: (520) 912-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 253304 (AZ)

Record details

NPI number1568053676
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2021
Last updated in NPPESFebruary 1, 2021
Certification dateJanuary 25, 2021

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 Alaska Native Tribal Health Consortium — 603 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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