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MATTIE ROSE ELLENSON APRN, CNP
NPI 1316579337
Nurse Practitioner - Women's Health in Staples, MN

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment
49725 COUNTY 83, STAPLES, MN 56479(218) 894-1515(218) 898-7518 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 24, 2020, Feb 7, 2020 (2 updates tracked since 2020).

About Mattie Rose Ellenson Aprn, Cnp NPPES

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

MATTIE ROSE ELLENSON APRN, CNP (NPI 1316579337) is an individual women's health provider in Staples, Minnesota, licensed in Minnesota (12090) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Lakewood Health System, and is a graduate of University Of Minnesota Medical School (2024).

NPPES Registry Identity

NPI1316579337
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMATTIE ROSE ELLENSONCredential: APRN, CNP
Location Address49725 COUNTY 83Staples, MN 56479-5280
Mailing Address49725 County 83Staples, MN 56479-5280 · (218) 894-1515 · Fax (218) 898-7518
Phone(218) 894-1515
Fax(218) 898-7518
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2024
Enumeration DateFebruary 7, 2020
Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
✔ NPI 1316579337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MN · 12090
49725 COUNTY 83, Staples, MN 56479
Open in Google Maps ↗

Other Identifiers 1

Medicaid518853900MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Mattie Rose Ellenson Aprn, Cnp 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 ID9830614353
PECOS Enrollment IDI20250417000634
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.

Lakewood Health System

Critical Access Hospitals · Staples, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241329
Location49725 County Road 83Staples, MN 56479 · Todd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56479 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

LAKEWOOD HEALTH SYSTEM
Durable Medical Equipment & Medical Supplies
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KELLY VANVICKLE
Nurse Practitioner (Women's Health)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
MARISSA ELIZABETH BAUMGARTNER PA-C
Physician Assistant
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
JORDAN ROBERT MOE M.D.
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
KYLIE OLSON
Speech-Language Pathologist
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-8427
GERALD WAYNE HENRICKSON MD
Family Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
LUANN ANNETTE GAMMON LICSW
Social Worker (Clinical)
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515
PAIGE MARIE CARLSON MD
Internal Medicine
49725 COUNTY 83
STAPLES, MN 56479
Todd County (218) 894-1515

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 Mattie Ellenson's NPI number?

The NPI number for Mattie Ellenson is 1316579337. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Where is Mattie Ellenson located?

Mattie Ellenson practices at 49725 County 83, Staples, MN 56479. The listed phone number is (218) 894-1515.

What is Mattie Ellenson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Mattie Ellenson enrolled in Medicare?

Yes. Mattie Ellenson 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 Mattie Ellenson accept?

Health plans from Medica list Mattie Ellenson 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 Mattie Ellenson affiliated with any hospitals?

According to CMS data, Mattie Ellenson is affiliated with Lakewood Health System.

When was this NPI record last updated?

The NPPES record for Mattie Ellenson was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.