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

Mrs. Amanda L Ellis, APRNCNP

Individual provider Family Nurse Practitioner · NPI 1902443195

Mrs. Amanda L Ellis, APRNCNP is a Nurse Practitioner in Canton, Ohio. Qualified in 2019, 7 years ago. Practices with Lifecare Family Health and Dental Center, Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
7
Licensed in
OH
In the registry since
2019
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Practice location Address checks out

408 9th St SW
Canton, OH 44707-4714
Phone: (330) 454-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 Albemarle Ave, Cuyahoga Falls, OH 44221-4814 — (330) 414-9945

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.025521 (OH)

Record details

NPI number1902443195
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRNCNP
Sole proprietorNo
NPI enumeratedDecember 6, 2019
Last updated in NPPESJanuary 19, 2022
Certification dateJanuary 19, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lifecare Family Health And Dental Center, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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