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

Maryann Ellis

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1326838426

Maryann Ellis is a Nurse Practitioner in Glasgow, Kentucky. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Kentucky.

Years since qualifying
1
Licensed in
KY
In the registry since
2025
Specialties on file
2

Practice location Address checks out

45 Scurry Hill Rd
Glasgow, KY 42141-7773
Phone: (270) 270-2337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4038837 (KY)
Child & Adolescent Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0807X · Licence 1113609 (KY)

Record details

NPI number1326838426
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 12, 2025
Last updated in NPPESAugust 11, 2025
Certification dateAugust 11, 2025
Mailing address45 Scurry Hill Rd, Glasgow, KY 42141-7773

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare