Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caroline Ellis

Individual provider Nurse Practitioner · NPI 1467045625

Caroline Ellis is a Nurse Practitioner in Wynnewood, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Licensed in
PA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone: (484) 476-2580
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Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1250 S Cedar Crest Blvd Ste 400, Allentown, PA 18103-6224 — (610) 402-6550

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP023078 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence SP023078 (PA)

Record details

NPI number1467045625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 18, 2021
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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