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

Stephanie Ellis, MSN

Individual provider Adult Health Nurse Practitioner · NPI 1942958673

Stephanie Ellis, MSN is a Nurse Practitioner in Provo, Utah. Qualified in 2020, 6 years ago. Practices with Utah Cancer Specialists PC, a 48-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2022
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

395 W Cougar Blvd Ste 104
Provo, UT 84604-3334
Phone: (801) 357-8200
Fax: (801) 357-8201
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 7558496-4405 (UT)

Record details

NPI number1942958673
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN
Sole proprietorNo
NPI enumeratedMarch 11, 2022
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022
Mailing address1121 E 3900 S Ste C230, Salt Lake City, UT 84124-1297

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Utah Cancer Specialists Pc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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