MEDICARE: MS. KERRI A ELLIS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	233757	MA
2	363LA2100X	Acute Care Nurse Practitioner	233757	MA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	233757	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003913567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KERRI A ELLIS NP

Provider Business Mailing Address
First Line	:	76 FOLLETTE ST
Second Line	:
City	:	GRAFTON
State	:	MA
Zip	:	01519-1022
Country	:	US
Telephone Number	:	508-954-7420
Fax Number	:	508-529-7024

Provider Business Practice Location Address
First Line	:	76 FOLLETTE ST
Second Line	:
City	:	GRAFTON
State	:	MA
Zip	:	01519-1022
Country	:	US
Telephone Number	:	508-954-7420
Fax Number	:	508-529-7024

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2006
Last Update Date	:	12/08/2024

Similar Medicare Providers

1588481311 — BE YOUR BEST SELF PSYCHIATRIC CARE PLLC
Practice Location Address:

76 FOLLETTE ST
GRAFTON, MA
01519-1022

Practice Phone: 508-954-7420
Practice Fax:

1831906130 — MOLLY DIPAOLA WARREN MS, RD, LDN
Practice Location Address:

1022 GRAFTON WAY
INDIAN LAND, SC
29707-7013

Practice Phone: 704-351-2461
Practice Fax:

1871587576 — CRESCENT MANOR REST HOME, INC
Practice Location Address:

5 CRESCENT ST
GRAFTON, MA
01519-1221

Practice Phone: 508-839-2124
Practice Fax: 508-839-4773

1699843425 — DONNA L FORTI LIC. AC.
Practice Location Address:

107 GRAFTON HILL ROAD
GRAFTON, MA
01519

Practice Phone: 508-839-0415
Practice Fax:

1750441648 — TOWN OF GRAFTON
Practice Location Address:

30 PROVIDENCE ROAD
GRAFTON, MA
01519-1193

Practice Phone: 508-839-5335
Practice Fax: 508-839-8559

1518005883 — MRS. GLORIA LOU PILCZAK RD, LDN
Practice Location Address:

39 PROVIDENCE RD
GRAFTON, MA
01519-1179

Practice Phone: 508-839-9969
Practice Fax: 508-839-9969

Directions to “ MS. KERRI A ELLIS NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.