IndividualActive
Carissa Ellis, R.N.
NPI 1740632496 · Registered Nurse · Mastic Beach, NY
Carissa Ellis, R.N. is a Registered Nurse provider in Mastic Beach, NY (NPI 1740632496).
Provider details
- NPI number
- 1740632496
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 22 717140 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES 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
74 Mill Dr
Mastic Beach, NY 11951-1403
Phone: (631) 578-5758
Street-level locationGet directions
Mailing address
Po Box 5582
Bay Shore, NY 11706-0411
Registry dates
- Enumerated
- 2016-07-06
- Last updated
- 2016-07-06
Frequently asked questions
- What is Carissa Ellis's NPI number?
- Carissa Ellis's National Provider Identifier (NPI) is 1740632496, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carissa Ellis's specialty?
- Carissa Ellis is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Carissa Ellis located?
- Carissa Ellis's practice location on file with NPPES is 74 Mill Dr, Mastic Beach, NY 11951-1403.
- What is Carissa Ellis's phone number?
- The practice phone number listed in the NPPES registry for Carissa Ellis is (631) 578-5758.
- Is Carissa Ellis's NPI active?
- Yes — Carissa Ellis's NPI (1740632496) is active in the NPPES registry as of the last update on 2016-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.