DR. MICHELE DEE ELLEFSON DNP APNP NPI 1528209574

NPI Information

  • NPI: 1528209574
  • Provider Name: DR. MICHELE DEE ELLEFSON, DNP, APNP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 421 CAMELOT DR
    FOND DU LAC, WI
    ZIP 54935
  • Phone: (920) 926-4939

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NPI Details

DR. Michele Dee Ellefson, DNP, APNP is an adult health nurse practitioner in Fond Du Lac, WI with 17 years of experience. DR. Michele Dee Ellefson, DNP, APNP NPI is 1528209574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

421 CAMELOT DR
FOND DU LAC, WI
ZIP 54935-335
Phone: (920) 926-4939

The NPI 1528209574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of peripheral nerve or branch (HCPCS:64640)

The enumeration date for this NPI number is 3/19/2009 and was last updated on 10/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse125406-030WISCONSINNo
2363LA2200XNurse PractitionerAdult Health3696-33WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11528209574MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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