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ELLEN TAN MSN, APRN, FNP-C
NPI 1013781251
Nurse Practitioner - Family in Troy, MI

Active since November 08, 2023PECOS EnrolledAccepts Medicare Assignment
3290 W BIG BEAVER RD STE 150, TROY, MI 48084(248) 792-6527 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellen Tan Msn, Aprn, Fnp-c NPPES

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

ELLEN TAN MSN, APRN, FNP-C (NPI 1013781251) is an individual family provider in Troy, Michigan, licensed in Michigan (4704348446) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Mclaren Port Huron, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1013781251
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELLEN TANCredential: MSN, APRN, FNP-C
Location Address3290 W BIG BEAVER RD STE 150Troy, MI 48084-2931
Mailing Address8348 18 Mile Rd Apt 1Sterling Heights, MI 48313-3003 · (815) 218-4764
Phone(248) 792-6527
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 8, 2023
NPPES CertifiedNovember 8, 2023
✔ NPI 1013781251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704348446
3290 W BIG BEAVER RD STE 150, Troy, MI 48084
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ellen Tan Msn, Aprn, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991148892
PECOS Enrollment IDI20240207003835
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

RYLIE RUSS PA-C
Physician Assistant
3290 W BIG BEAVER RD STE 150
TROY, MI 48084
Oakland County (248) 792-6257
KYRSTINA HUDSON MARIOUW PH.D
Clinical Neuropsychologist
3290 W BIG BEAVER RD STE 150
TROY, MI 48084
Oakland County (248) 792-6527
JAYANT JAGANNATHAN MD
Neurological Surgery
3290 W BIG BEAVER RD STE 150
TROY, MI 48084
Oakland County (248) 792-6527

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 Tan's NPI number?

The NPI number for Ellen Tan is 1013781251. It was assigned to this individual provider in the NPPES registry on November 8, 2023.

Where is Ellen Tan located?

Ellen Tan practices at 3290 W Big Beaver Rd Ste 150, Troy, MI 48084. The listed phone number is (248) 792-6527.

What is Ellen Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ellen Tan enrolled in Medicare?

Yes. Ellen Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ellen Tan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Ellen Tan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ellen Tan affiliated with any hospitals?

According to CMS data, Ellen Tan is affiliated with Mclaren Port Huron and Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Ellen Tan was last updated on November 8, 2023. 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.