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

Mr. Christopher Dominick Ellis, CRNP

Individual provider Family Nurse Practitioner · NPI 1366026361

Mr. Christopher Dominick Ellis, CRNP is a Nurse Practitioner in Plains, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Northeastern Pennsylvania Cardiology Associates LLP, a 6-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

667 N River St #201
Plains, PA 18705-1870
Phone: (570) 823-1111
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP023586 (PA)

Record details

NPI number1366026361
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedMay 6, 2021
Last updated in NPPESMay 6, 2021
Certification dateApril 9, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northeastern Pennsylvania Cardiology Associates Llp — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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