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

Mrs. Laura Ellis, FNP-BC

Individual provider Registered Nurse · NPI 1578904744

Mrs. Laura Ellis, FNP-BC is a Nurse Practitioner in New York, New York. Qualified in 2014, 12 years ago. Practices with UCSF Medical Group Business Services, a 1,531-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, New Jersey, New York and Pennsylvania.

Years since qualifying
12
Licensed in
CA, NJ, NY, PA
In the registry since
2013
Specialties on file
6
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

1425 Madison Avenue Box 1273
New York, NY 10029-6514
Phone: (650) 580-3624
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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 33338633 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 833556 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 26NR17280100 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence RN657785 (PA)
Registered Nurse Taxonomy 163W00000X · Licence 22 657365 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95001767 (CA)

Record details

NPI number1578904744
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 16, 2013
Last updated in NPPESMarch 20, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ucsf Medical Group Business Services — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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