Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Amber Ellis, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1093049983

Mrs. Amber Ellis, FNP-BC is a Nurse Practitioner in Logan, West Virginia. Qualified in 2009, 17 years ago. Practices with Living Waters Medical Center, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
17
Licensed in
WV
In the registry since
2009
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

140 Stollings Ave Ste 3
Logan, WV 25601-4035
Phone: (304) 752-4594
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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 61591 (WV)

Record details

NPI number1093049983
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 24, 2009
Last updated in NPPESSeptember 9, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Living Waters Medical Center — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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