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

Mrs. Kelly Elizabeth Ellis, APN, CNM

Individual provider Advanced Practice Midwife · NPI 1962705103

Mrs. Kelly Elizabeth Ellis, APN, CNM is a Certified Nurse Midwife (CNM) in Columbus, Ohio. Qualified in 2010, 16 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
16
Licensed in
IL
In the registry since
2010
Specialties on file
2
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

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Practice location Address checks out

5000 E Main St
Columbus, OH 43213-2440
Phone: (614) 235-5555
Fax: (614) 536-1994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 124 S Main St Unit A, Granville, OH 43023-1409 — (740) 279-3990

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 209008508 (IL)
Advanced Practice Midwife Taxonomy 367A00000X

Record details

NPI number1962705103
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN , CNM
Sole proprietorNo
NPI enumeratedDecember 9, 2010
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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