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ANGELIQUE NIKKOL-TELYCENAS ELLISON D.O.
NPI 1154769214
Obstetrics & Gynecology in Trenton, MI

Active since June 11, 2013PECOS EnrolledAccepts Medicare Assignment
5400 FORT ST STE 250, TRENTON, MI 48183(734) 642-2480(734) 642-2475 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angelique Nikkol-telycenas Ellison D.o. NPPES

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

ANGELIQUE NIKKOL-TELYCENAS ELLISON D.O. (NPI 1154769214) is an individual obstetrics & gynecology provider in Trenton, Michigan, licensed in Michigan (5101020652) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Michigan State University College Of Osteopathic Medicine (2013).

NPPES Registry Identity

NPI1154769214
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameANGELIQUE NIKKOL-TELYCENAS ELLISONCredential: D.O.
Location Address5400 FORT ST STE 250Trenton, MI 48183-4630
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1863 · Fax (947) 522-0307
Phone(734) 642-2480
Fax(734) 642-2475
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2013
Enumeration DateJune 11, 2013
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
✔ NPI 1154769214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 5101020652
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5400 FORT ST STE 250, Trenton, MI 48183
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Angelique Nikkol-telycenas Ellison D.o. 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 ID8123391422
PECOS Enrollment IDI20170908000591
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230176
Location5450 Fort StreetTrenton, MI 48183 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48183 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 2

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

REBEKAH SESSOMS D.O.
Obstetrics & Gynecology
5400 FORT ST STE 250
TRENTON, MI 48183
Wayne County (734) 642-2480
DR. MAX ASA IZBICKI D.O.
Obstetrics & Gynecology
5400 FORT ST STE 250
TRENTON, MI 48183
Wayne County (734) 642-2480

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 Angelique Ellison's NPI number?

The NPI number for Angelique Ellison is 1154769214. It was assigned to this individual provider in the NPPES registry on June 11, 2013.

Where is Angelique Ellison located?

Angelique Ellison practices at 5400 Fort St Ste 250, Trenton, MI 48183. The listed phone number is (734) 642-2480.

What is Angelique Ellison's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Angelique Ellison enrolled in Medicare?

Yes. Angelique 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 Angelique Ellison accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health and 1 other insurer list Angelique 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.

Is Angelique Ellison affiliated with any hospitals?

According to CMS data, Angelique Ellison is affiliated with Beaumont Hospital - Dearborn, Beaumont Hospital Royal Oak, Henry Ford Health Wyandotte Hospital and Corewell Health Trenton Hospital.

When was this NPI record last updated?

The NPPES record for Angelique Ellison was last updated on October 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.