ELLEN MARIE DEJONG MD
NPI 1154711836
Anesthesiology in Truckee, CA
About Ellen Marie Dejong Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN MARIE DEJONG MD (NPI 1154711836) is an individual anesthesiology provider in Truckee, California, licensed in California (A151834) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Incline Village Community Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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 Marie Dejong Md 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Incline Village Community Hospital
Critical Access Hospitals · Incline Village, NVMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TRUCKEE, CA 96161
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 Dejong's NPI number?
The NPI number for Ellen Dejong is 1154711836. It was assigned to this individual provider in the NPPES registry on February 2, 2015. The provider is also known as Ellen Ryan.
Where is Ellen Dejong located?
Ellen Dejong practices at 10121 Pine Ave, Truckee, CA 96161. The listed phone number is (510) 307-6773.
What is Ellen Dejong's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Ellen Dejong enrolled in Medicare?
Yes. Ellen Dejong 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.
Is Ellen Dejong affiliated with any hospitals?
According to CMS data, Ellen Dejong is affiliated with Incline Village Community Hospital.
When was this NPI record last updated?
The NPPES record for Ellen Dejong was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ellen Marie Dejong, MD · NPI 1154711836
Anesthesiology physician in Truckee, California. Individual provider, active in the CMS NPPES registry since February 2, 2015.
## Identity
- **NPI:** 1154711836 (Entity type: Individual)
- **Enumerated:** February 2, 2015
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** A151834 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 10121 PINE AVE, Truckee, CA 96161-4856
- **Phone:** (510) 307-6773
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1154711836) · Data from the CMS NPPES public registry.