Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
PEDIATRIC HEALTH CONNECT LLC
Active
Organization
PEDIATRIC HEALTH CONNECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUNTELLE ELLIS MSN, CRNP, CPNP-PC (NURSE PRACTITIONER)
(301) 467-5033
Entity
Organization
Contact information
Practice address
1302 CRONSON BLVD STE J, CROFTON, MD 21114-2064
(301) 467-5033
Mailing address
2421 VINEYARD LN, CROFTON, MD 21114-1138
(301) 467-5033
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up