ELLEN ANNE WOLD MD
NPI 1013606417
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 02, 2023PECOS Enrolled
1500 E MEDICAL CENTER DR SPC 5368, ANN ARBOR, MI 48109(734) 998-2020 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Jun 22, 2024, May 6, 2024 and 1 more (4 updates tracked since 2023).

About Ellen Anne Wold Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLEN ANNE WOLD MD (NPI 1013606417) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351052255) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013606417
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELLEN ANNE WOLDCredential: MD
Location Address1500 E MEDICAL CENTER DR SPC 5368Ann Arbor, MI 48109-5368
Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000
Sole ProprietorNo
Enumeration DateMay 2, 2023
Last NPPES UpdateJune 27, 20244 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1013606417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351052255
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DR SPC 5368, Ann Arbor, MI 48109

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ellen Anne Wold Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DR SPC 5368
ANN ARBOR, MI 48109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellen Wold's NPI number?

The NPI number for Ellen Wold is 1013606417. It was assigned to this individual provider in the NPPES registry on May 2, 2023.

Where is Ellen Wold located?

Ellen Wold practices at 1500 E Medical Center Dr Spc 5368, Ann Arbor, MI 48109. The listed phone number is (734) 998-2020.

What is Ellen Wold's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ellen Wold enrolled in Medicare?

Yes. Ellen Wold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ellen Wold was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.