Active NPI 1932880333 Individual Practitioner Female Practitioner

Ellen Ray

Nurse Practitioner - Pediatrics • Cottleville, MO

Professional Overview & Biography Verified Profile Summary

Ellen Ray is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Cottleville, MO. Practice services are available at 4525 MID RIVERS MALL DR STE 10 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4525 Mid Rivers Mall Dr Ste 10

Cottleville, MO 633762820

Telephone 6362293350

Associated Practice Facility / Clinic

🏢 Mercy Hospitals East Communities Facility NPI 1427098169

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Cottleville, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 11.6 Yrs

Regional Practice Density

2 Specialists

Practicing in Cottleville, MO (900 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-31

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MO 2023033858

Definition to come...

Registered Nurse - Emergency

NUCC Taxonomy Code: 163WE0003X

State License MO 2005005840

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Eva Gallina , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1518599778

CPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location August 31, 2023

Registered at 4525 MID RIVERS MALL DR STE 10, COTTLEVILLE, MO 633762820 (Tel: 6362293350)

📍

Updated Business Mailing Address August 31, 2023

Registered at PO BOX 776084, CHICAGO, IL 606776442 (Tel: 6362293350)

✅

NPI Profile Active July 27, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2023

Registered at 4525 MID RIVERS MALL DR, COTTLEVILLE, MO 633762820 (Tel: 6362293350)

📍

Updated Business Mailing Address July 27, 2023

Registered at 1227 BRIARCHASE DR, LAKE SAINT LOUIS, MO 633676442 (Tel: 6365775929)

👤

Provider Name / Credentials Updated July 27, 2023

Recorded as ELLEN RAY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2023

Registered Nurse (License #2005005840 in MO)

🟢

Initial NPI Registration & Enumeration July 27, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1932880333

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2023

Last Update: August 31, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 776084

Chicago, IL 606776442

Phone: 6362293350

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.