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

Petrina F. Ellis, APRN-BC

Individual provider Registered Nurse · NPI 1356613574

Petrina F. Ellis, APRN-BC is a Nurse Practitioner in Yonkers, New York. Qualified in 2021, 5 years ago. Practices with Mount Vernon Neighborhood Health Center Inc, a 49-clinician group and accepts Medicare assignment. Licensed in Georgia and New York.

Years since qualifying
5
Licensed in
GA, NY
In the registry since
2012
Specialties on file
4
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Practice location Address checks out

30 S Broadway Fl 2
Yonkers, NY 10701-3708
Phone: (914) 968-4898
Fax: (914) 968-1239
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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 F349223 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 625326 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence F349223 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN253453 (GA)

Record details

NPI number1356613574
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-BC
Sole proprietorNo
NPI enumeratedFebruary 3, 2012
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mount Vernon Neighborhood Health Center Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Yonkers