Keith Ellis
NPI 1144654666 · Pediatric Nurse Practitioner · Bridgeport, CT
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Ellis is a Pediatric Nurse Practitioner provider in Bridgeport, CT (NPI 1144654666).
Provider details
- NPI number
- 1144654666
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5501 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 282 Washington StHartford, CT 06106-3322Phone: (860) 837-7250Fax: (860) 837-6970
Registry dates
- Enumerated
- 2013-09-03
- Last updated
- 2022-09-12
- Certified
- 2022-09-12
Frequently asked questions
- What is Keith Ellis's NPI number?
- Keith Ellis's National Provider Identifier (NPI) is 1144654666, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Ellis's specialty?
- Keith Ellis is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Ellis located?
- Keith Ellis's practice location on file with NPPES is 46 Albion St, Bridgeport, CT 06605-2602.
- What is Keith Ellis's phone number?
- The practice phone number listed in the NPPES registry for Keith Ellis is (203) 330-6000.
- Does Keith Ellis accept Medicare?
- Keith Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Ellis's NPI active?
- Yes — Keith Ellis's NPI (1144654666) is active in the NPPES registry as of the last update on 2022-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.