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

Gregory Richard Ellis

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1023978038

Gregory Richard Ellis is a Nurse Practitioner in Toledo, Ohio. Qualified in 2025, 1 year ago. Practices with State of Ohio Office of Budget and Management State Accounting, a 109-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
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Practice location Address checks out

3028 Pemberton Dr Apt 5
Toledo, OH 43606-2916
Phone: (419) 262-4103
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0040771 (OH)

Record details

NPI number1023978038
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 12, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address3028 Pemberton Dr Apt 5, Toledo, OH 43606-2916

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice State Of Ohio Office Of Budget And Management State Accounting — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Toledo