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KATHRYN LOUISE ELLENS NP
NPI 1154819035
Nurse Practitioner - Gerontology in Grand Rapids, MI

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546(616) 391-3759 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2023, Mar 5, 2021, Aug 27, 2018 and 1 more (4 updates tracked since 2018).

About Kathryn Louise Ellens Np NPPES

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

KATHRYN LOUISE ELLENS NP (NPI 1154819035) is an individual gerontology provider in Grand Rapids, Michigan, licensed in Michigan (4704278582) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1154819035
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATHRYN LOUISE ELLENSCredential: NP
Location Address4100 LAKE DR SE STE 200Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-3759
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 26, 2018
Last NPPES UpdateMarch 27, 20234 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1154819035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MI · 4704278582
4100 LAKE DR SE STE 200, Grand Rapids, MI 49546
Open in Google Maps ↗

Other Names 1

Former Name (1)Kathryn Jipping

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, 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

Kathryn Louise Ellens Np 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 ID2567719966
PECOS Enrollment IDI20180717000867
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services67 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services32 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

MARY BARR NP
Nurse Practitioner
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
AMY LYNN ZOMERLEI NP
Nurse Practitioner (Adult Health)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
STEPHEN THOMAS DOYLE DO
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
HUMNA ABID MEMON M.D.
Internal Medicine (Critical Care Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
JANIECE ANN FEUERSTEIN NP
Nurse Practitioner (Gerontology)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 267-8244
DR. RAVICHAND MADALA M.D.
Internal Medicine (Sleep Medicine)
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
JOHN RICHARD PARKER PA-C
Physician Assistant
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3759
ABIGAIL MIA POORT PHARMD
Pharmacist
4100 LAKE DR SE STE 200
GRAND RAPIDS, MI 49546
Kent County (616) 391-3397

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 Kathryn Ellens's NPI number?

The NPI number for Kathryn Ellens is 1154819035. It was assigned to this individual provider in the NPPES registry on April 26, 2018. The provider is also known as Kathryn Jipping.

Where is Kathryn Ellens located?

Kathryn Ellens practices at 4100 Lake Dr SE Ste 200, Grand Rapids, MI 49546. The listed phone number is (616) 391-3759.

What is Kathryn Ellens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kathryn Ellens enrolled in Medicare?

Yes. Kathryn Ellens 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 Kathryn Ellens accept?

Health plans from McLaren Health Plan Community and Priority Health list Kathryn Ellens 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 Kathryn Ellens affiliated with any hospitals?

According to CMS data, Kathryn Ellens is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Kathryn Ellens was last updated on March 27, 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.