MICHELENE ELLEGOOD MSN, FNP-BC
NPI 1174802482
Nurse Practitioner - Family in Maywood, IL

Q: What is Michelene Ellegood's NPI number?

The NPI number for Michelene Ellegood is 1174802482. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Michelene Ellegood's specialty?

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

Active since August 04, 2011PECOS EnrolledAccepts Medicare Assignment

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-9000 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michelene Ellegood Msn, Fnp-bc NPPES

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

MICHELENE ELLEGOOD MSN, FNP-BC (NPI 1174802482) is an individual family provider in Maywood, Illinois, licensed in Illinois (209008945) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1174802482

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMICHELENE ELLEGOODCredential: MSN, FNP-BC

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-9000

Phone(708) 216-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateAugust 4, 2011

Last NPPES UpdateFebruary 25, 2013

✔ NPI 1174802482 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 IL · 209008945

2160 S 1ST AVE, Maywood, IL 60153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Michelene Ellegood Msn, Fnp-bc 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 ID345411864

PECOS Enrollment IDI20110913000911

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

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)