PATRICIA JANE ELLIS PH.D.
NPI 1346414059
Psychologist in Ripon, WI

Active since April 15, 2008PECOS Enrolled
845 PARKSIDE ST, RIPON, WI 54971(920) 926-4200(920) 926-8933 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Patricia Jane Ellis Ph.d. NPPES

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

PATRICIA JANE ELLIS PH.D. (NPI 1346414059) is an individual psychologist in Ripon, Wisconsin, licensed in Wisconsin (3215-57) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346414059
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePATRICIA JANE ELLISCredential: PH.D.
Location Address845 PARKSIDE STRipon, WI 54971-8505
Mailing AddressSsm Health Fdl Regional Clinic, 1808 W Beltline HwyMadison, WI 53713-2334 · (920) 926-8343
Fax(920) 926-8933
Sole ProprietorNo
Enumeration DateApril 15, 2008
Last NPPES UpdateOctober 6, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1346414059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in WI · 3215-57
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
845 PARKSIDE ST, Ripon, WI 54971

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patricia Jane Ellis Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Patricia Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
912 S HICKORY ST
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 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 19

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

Pharmacist
845 PARKSIDE ST
RIPON, WI 54971
Emergency Medicine
845 PARKSIDE ST
RIPON, WI 54971
Social Worker (Clinical)
845 PARKSIDE ST
RIPON, WI 54971
Anesthesiology
845 PARKSIDE ST
RIPON, WI 54971
Hospitalist
845 PARKSIDE ST
RIPON, WI 54971
Emergency Medicine
845 PARKSIDE ST
RIPON, WI 54971
Nurse Anesthetist, Certified Registered
845 PARKSIDE ST
RIPON, WI 54971
Counselor (Professional)
845 PARKSIDE ST
RIPON, WI 54971

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 Patricia Ellis's NPI number?

The NPI number for Patricia Ellis is 1346414059. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Patricia Ellis located?

Patricia Ellis practices at 845 Parkside St, Ripon, WI 54971. The listed phone number is (920) 926-4200.

What is Patricia Ellis's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Patricia Ellis enrolled in Medicare?

Yes. Patricia Ellis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patricia Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Ellis reassigns Medicare benefits to 3 organizations: Agnesian Healthcare Inc (Fond Du Lac, WI), Mchs Hospitals, Inc. (Plover, WI) and Marshfield Clinic Inc (Marshfield, WI). Each 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 Patricia Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Quartz list Patricia Ellis 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 Patricia Ellis was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.