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

Liam Ty Ellis, AGACNP-BC

Individual provider Critical Care Medicine Nurse Practitioner · NPI 1912723305

Liam Ty Ellis, AGACNP-BC is a Nurse Practitioner in Tampa, Florida. Qualified in 2024, 2 years ago. Practices with Gulf-To-Bay Anesthesiology Associates LLC, a 323-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

1 Tampa General Cir
Tampa, FL 33606-3571
Phone: (813) 844-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11037436 (FL)
Critical Care Medicine Nurse Practitioner Taxonomy 363LC0200X · Licence 11037436 (FL)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN9522986 (FL)

Record details

NPI number1912723305
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedDecember 2, 2024
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Gulf-To-Bay Anesthesiology Associates Llc — 323 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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