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

Jamie L Ellis, NPP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1508806779

Jamie L Ellis, NPP is a Nurse Practitioner in Queensbury, New York. Qualified in 2002, 24 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

161 Carey Rd
Queensbury, NY 12804-7821
Phone: (518) 824-8610
Fax: (518) 824-2390
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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 400698 (NY)

Record details

NPI number1508806779
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPP
Sole proprietorNo
NPI enumeratedJune 7, 2006
Last updated in NPPESDecember 31, 2025
Certification dateDecember 31, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Queensbury