Kenyanita Ellis, D.O.
NPI 1841727716 · Pediatrics Physician · Jacksonville, FL
Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenyanita Ellis, D.O. is a Pediatrics Physician provider in Jacksonville, FL (NPI 1841727716).
Provider details
- NPI number
- 1841727716
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- OS16790 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2017-05-22
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Frequently asked questions
- What is Kenyanita Ellis's NPI number?
- Kenyanita Ellis's National Provider Identifier (NPI) is 1841727716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenyanita Ellis's specialty?
- Kenyanita Ellis is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Kenyanita Ellis located?
- Kenyanita Ellis's practice location on file with NPPES is 12086 Fort Caroline Rd Ste 401, Jacksonville, FL 32225-7640.
- What is Kenyanita Ellis's phone number?
- The practice phone number listed in the NPPES registry for Kenyanita Ellis is (904) 456-9240.
- Does Kenyanita Ellis accept Medicare?
- Kenyanita Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenyanita Ellis's NPI active?
- Yes — Kenyanita Ellis's NPI (1841727716) is active in the NPPES registry as of the last update on 2023-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.