Keisha Ellis is a Roswell, New Mexico based nurse practitioner with 9 years of experience in Psych/Mental Health. She completed her graduation in 2016. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Keisha Ellis is CNP-03387 for Psych/Mental Health in New Mexico. Her current practice location is 601 W Country Club Rd Ste 102, Roswell. Patients can reach her at 575-624-4922 or can fax her at 575-624-4902. Keisha Ellis is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1508318494. Keisha Ellis provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Keisha Ellis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Keisha Ellis
Specialization:
Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:
Female
Credentials:
NP
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
601 W Country Club Rd Ste 102, Roswell, New Mexico, 88201-5227
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3072898246
Enrollment ID:
I20180926003432
NPI Number:
1508318494
NPI Enumeration Date:
26 Oct, 2016
NPI Last Update On:
21 Aug, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keisha Ellis are as mentioned below.
License Number
Specialization
State
Status
CNP-03387
Psych/Mental Health
New Mexico
Primary
CNP03387
Family
New Mexico
Secondary
9281197
Family
Florida
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(320006)
Roswell, NM
Acute Care Hospital
(320086)
Roswell, NM
Acute Care Hospital
(320030)
Artesia, NM
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Keisha Ellis is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Roswell Clinic Corp (9436062759)
25
Other Medical Identifiers:
Other legacy medical identifiers associated with Keisha Ellis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
44672322
Medicaid
New Mexico
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Keisha Ellis 1209 Mountain Road Pl Ne # 4953, Albuquerque, New Mexico
Zip:
87110-7845
Phone Number:
800-524-1212
Fax Number:
323-967-9893
Patients can reach Keisha Ellis at 601 W Country Club Rd Ste 102, Roswell, New Mexico or can call to book an appointment on 575-624-4922.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.