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

Michelle Lynn Ellis

Individual provider Nurse Practitioner · NPI 1093679524

Michelle Lynn Ellis is a Nurse Practitioner in Hickory, North Carolina. Qualified in 2022, 4 years ago. Practices with East Carolina Anesthesia Associates PLLC, a 680-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

915 Tate Blvd SE Ste 182
Hickory, NC 28602-4042
Phone: (828) 569-2880
Fax: (828) 569-1565
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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 F11250688 (NC)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence F11250688 (NC)

Record details

NPI number1093679524
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing address915 Tate Blvd Se Ste 182, Hickory, NC 28602-4042

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice East Carolina Anesthesia Associates Pllc — 680 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hickory