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

Mr. Robert Michael Ellis, NP

Individual provider Family Nurse Practitioner · NPI 1902284599

Mr. Robert Michael Ellis, NP is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2015, 11 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone: (480) 256-3359
Fax: (480) 256-3359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP7834 (AZ)

Record details

NPI number1902284599
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESAugust 7, 2025
Certification dateSeptember 22, 2020
Mailing address2940 E Banner Gateway Drive, Gilbert, AZ 85234

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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