CHESTON PAUL ELLIS, APRN-CNP — NPI 1720663057 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care in EL RENO, OK)

CMS-1500 Box 24J / 33a • NPI

1720663057

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LP2300X (CMS 50)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care

Box 32 Service Location & ZIP+4

1900 S COUNTRY CLUB RD, EL RENO, OK, 73036-5427

✓ 9-Digit EDI 837 ZIP+4 (73036-5427)

Practice Phone & Referral Fax

(405) 295-2900

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1720663057 (CHESTON PAUL ELLIS, APRN-CNP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1720663057` (NPI-1 Individual Practitioner)
Provider / Legal Name	CHESTON PAUL ELLIS, APRN-CNP
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care NUCC Code: `363LP2300X` (Nurse Practitioner, Primary Care)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1900 S COUNTRY CLUB RD, EL RENO, OK, 73036-5427
Practice Telephone / Fax	Tel: (405) 295-2900
Administrative Mailing Address	1900 S COUNTRY CLUB RD, EL RENO, OK, 73036-5427
Enumeration & Last Sync	Enumerated: 2021-03-17 \| CMS Record Updated: 2025-12-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1900 S COUNTRY CLUB RD, EL RENO, OK, 73036-5427

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Plain-English Taxonomy & CMS Crosswalk (363LP2300X)

What Does Taxonomy Code 363LP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LP2300X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nurse Practitioner, Primary Care for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHESTON PAUL ELLIS, APRN-CNP)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LP2300X` — Nurse Practitioner, Primary Care Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner, Primary Care	State: OK \| License: `201176` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHESTON PAUL ELLIS, APRN-CNP (NPI #1720663057)