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

MS. Katherine S Ellis, APN

Individual provider Primary Care Nurse Practitioner · NPI 1275410151

MS. Katherine S Ellis, APN is a Nurse Practitioner in Ridgewood, New Jersey. Graduated from Emory University School of Medicine in 2016, 10 years ago. Licensed in New Jersey.

Years since qualifying
10
Trained at
Emory University School of Medicine
Licensed in
NJ
In the registry since
2025
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

See every abbreviation used in this directory →

Practice location Address checks out

223 N Van Dien Ave
Ridgewood, NJ 07450-2726
Phone: (201) 447-8345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 26NJ15387600 (NJ)

Record details

NPI number1275410151
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare