IndividualActive
Nickolas Ellis
NPI 1699636415 · Peer Specialist · Oklahoma City, OK
Nickolas Ellis is a Peer Specialist provider in Oklahoma City, OK (NPI 1699636415).
Provider details
- NPI number
- 1699636415
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- K082070417 (OK)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
11601 W Stanley Draper Dr
Oklahoma City, OK 73165-6503
Phone: (405) 799-7540
Street-level locationGet directions
Mailing address
11601 W Stanley Draper Dr
Oklahoma City, OK 73165-6503
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Nickolas Ellis's NPI number?
- Nickolas Ellis's National Provider Identifier (NPI) is 1699636415, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nickolas Ellis's specialty?
- Nickolas Ellis is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Nickolas Ellis located?
- Nickolas Ellis's practice location on file with NPPES is 11601 W Stanley Draper Dr, Oklahoma City, OK 73165-6503.
- What is Nickolas Ellis's phone number?
- The practice phone number listed in the NPPES registry for Nickolas Ellis is (405) 799-7540.
- Is Nickolas Ellis's NPI active?
- Yes — Nickolas Ellis's NPI (1699636415) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.