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

Summerlyn Ellis

Individual provider Family Nurse Practitioner · NPI 1689439341

Summerlyn Ellis is a Nurse Practitioner in Redmond, Oregon. Qualified in 2023, 3 years ago. Practices with Advanced Pain Solutions of Oregon LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Licensed in
OR
In the registry since
2024

Practice location Address checks out

1020 SW Indian Ave
Redmond, OR 97756-3037
Phone: (541) 923-6024
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10022072 (OR)

Record details

NPI number1689439341
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address1020 Sw Indian Ave, Redmond, OR 97756-3037

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Advanced Pain Solutions Of Oregon Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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