ALICE J ELLISON FNP-C
NPI 1114780228
Preventive Medicine - Public Health & General Preventive Medicine in Minnetonka, MN

Active since February 01, 2024PECOS EnrolledAccepts Medicare Assignment
9900 BREN RD E, MINNETONKA, MN 55343(800) 328-5979 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alice J Ellison Fnp-c NPPES

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

ALICE J ELLISON FNP-C (NPI 1114780228) is an individual public health & general preventive medicine provider in Minnetonka, Minnesota, licensed in Missouri (2023045679) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114780228
Entity TypeIndividualFemale
Primary Taxonomy2083P0901X
Provider Legal NameALICE J ELLISONCredential: FNP-C
Location Address9900 BREN RD EMinnetonka, MN 55343-9664
Mailing Address9900 Bren Rd EMinnetonka, MN 55343-9664 · (800) 328-5979
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 1, 2024
Last NPPES UpdateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1114780228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
License Licensed in MO · 2023045679
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
9900 BREN RD E, Minnetonka, MN 55343

Accepted 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

Alice J Ellison 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 ID3971019597
PECOS Enrollment IDI20250721004028
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55343 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

Nurse Practitioner
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Gerontology)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343
Nurse Practitioner (Family)
9900 BREN RD E
MINNETONKA, MN 55343

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 Alice Ellison's NPI number?

The NPI number for Alice Ellison is 1114780228. It was assigned to this individual provider in the NPPES registry on February 1, 2024.

Where is Alice Ellison located?

Alice Ellison practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (800) 328-5979.

What is Alice Ellison's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Alice Ellison enrolled in Medicare?

Yes. Alice Ellison 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 Alice Ellison accept?

Health plans from Medica list Alice Ellison 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.

When was this NPI record last updated?

The NPPES record for Alice Ellison was last updated on February 5, 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.