ELLEN AMANDA JANETZKE M.D.
NPI 1235120742
Specialist in Bloomfield Hills, MI
About Ellen Amanda Janetzke M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN AMANDA JANETZKE M.D. (NPI 1235120742) is an individual specialist in Bloomfield Hills, Michigan, licensed in Michigan (4301066875) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ellen Amanda Janetzke M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show Ellen Janetzke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomfield Hills, MI 48304
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Ellen A Janetzke MD PC
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BLOOMFIELD HILLS, MI 48304
BLOOMFIELD HILLS, MI 48304
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 Janetzke's NPI number?
The NPI number for Ellen Janetzke is 1235120742. It was assigned to this individual provider in the NPPES registry on November 3, 2005.
Where is Ellen Janetzke located?
Ellen Janetzke practices at 60 W Big Beaver Rd Ste 100, Bloomfield Hills, MI 48304. The listed phone number is (248) 258-5100.
What is Ellen Janetzke's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Ellen Janetzke enrolled in Medicare?
Yes. Ellen Janetzke 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.
Which organization bills Medicare for Ellen Janetzke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Janetzke reassigns Medicare benefits to Ellen A. Janetzke, M.D., P.C. (Bloomfield Hills, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellen Janetzke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ellen Janetzke accept?
Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Ellen Janetzke 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 Ellen Janetzke was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Amanda Janetzke, M.D. · NPI 1235120742
Specialist provider in Bloomfield Hills, Michigan. Individual provider, active in the CMS NPPES registry since November 3, 2005.
## Identity
- **NPI:** 1235120742 (Entity type: Individual)
- **Enumerated:** November 3, 2005
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** 4301066875 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 60 W BIG BEAVER RD STE 100, Bloomfield Hills, MI 48304-3913
- **Phone:** (248) 258-5100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ellen A. Janetzke, M.D., P.C. (NPI 1598947996, Bloomfield Hills, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** May 20, 2021
- **Other identifiers:** Other 0634039 (MI); Other 7316280 (MI); Medicaid 4427695 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1235120742) · Data from the CMS NPPES public registry.