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

Mrs. Caroline Suzanne Ellis, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1588486989

Mrs. Caroline Suzanne Ellis, NURSEPRACTITIONER is a Nurse Practitioner in Carrizozo, New Mexico. Qualified in 2024, 2 years ago. Practices with Seeberger Dermatology LLC, a 3-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
2
Licensed in
NM
In the registry since
2024

Practice location Address checks out

710 E Ave Family Medicine
Carrizozo, NM 88301-0008
Phone: (575) 648-2317
Fax: (575) 648-4413
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 81488 (NM)

Record details

NPI number1588486989
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedOctober 28, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Seeberger Dermatology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Carrizozo