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DR. ELLEN ROBERTA EMBICK MD
NPI 1285262196
Family Medicine in Shiprock, NM

Active since March 28, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Apr 3, 2020, Mar 29, 2020 (3 updates tracked since 2020).

About Dr. Ellen Roberta Embick Md NPPES

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

DR. ELLEN ROBERTA EMBICK MD (NPI 1285262196) is an individual family medicine provider in Shiprock, New Mexico, licensed in New Mexico (MD2023-1030) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1285262196
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ELLEN ROBERTA EMBICKCredential: MD
Location AddressUS-491Shiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001
Phone(505) 368-6001
Sole ProprietorYes
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2020
Enumeration DateMarch 28, 2020
Last NPPES UpdateJuly 17, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1285262196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · MD2023-1030
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
US-491, Shiprock, NM 87420
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Secondary Practice Location 1

Location 11 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-6607

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

Dr. Ellen Roberta Embick 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.

PECOS PAC ID7618393612
PECOS Enrollment IDI20240312003528
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 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.
63 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services15 patients
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.
22 services19 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Northern Navajo Medical Center

Acute Care Hospitals · Shiprock, NM
OwnershipGovernment - Federal
CMS Certification Number320059
LocationUs Hwy 491 NorthShiprock, NM 87420 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 8

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

KIMBERLY MARTOCCI OD
Optometrist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
DR. ABISOLA TAIRU PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
US-491
SHIPROCK, NM 87420
San Juan County (505) 356-7250
ANDREW MICHAEL FOSTER PHARM.D.
Pharmacist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
ANJALI NICOLE PARAMANANDAM OD
Optometrist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
AMBER LEE LOGAN DPT
Physical Therapist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
DR. JETT NYMANN DELACRUZ PARAOAN PHARMD, MBA
Pharmacist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-7250
TREVOR DOUGLASS GARDNER PHARMD
Pharmacist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001
SARAH HALIMI OD
Optometrist
US-491
SHIPROCK, NM 87420
San Juan County (505) 368-6001

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 Embick's NPI number?

The NPI number for Ellen Embick is 1285262196. It was assigned to this individual provider in the NPPES registry on March 28, 2020.

Where is Ellen Embick located?

Ellen Embick practices at Us-491, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Ellen Embick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ellen Embick enrolled in Medicare?

Yes. Ellen Embick 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 Embick affiliated with any hospitals?

According to CMS data, Ellen Embick is affiliated with San Juan Regional Medical Center Inc and Northern Navajo Medical Center.

When was this NPI record last updated?

The NPPES record for Ellen Embick was last updated on July 17, 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.