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MELANIE AMANDA ELLIS PMHNP-BC
NPI 1376414466
Nurse Practitioner - Psychiatric/Mental Health in Green Lake, WI

Active since September 13, 2025PECOS Enrolled
PO BOX 97, GREEN LAKE, WI 54941(920) 229-0686 Get Directions Write a Review

NPPES record last updated: September 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melanie Amanda Ellis Pmhnp-bc NPPES

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

MELANIE AMANDA ELLIS PMHNP-BC (NPI 1376414466) is an individual psychiatric/mental health provider in Green Lake, Wisconsin, licensed in Wisconsin (17426-33) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376414466
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELANIE AMANDA ELLISCredential: PMHNP-BC
Location AddressPO BOX 97Green Lake, WI 54941-0097
Mailing AddressPo Box 97Green Lake, WI 54941-0097 · (920) 229-0686
Phone(920) 229-0686
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 13, 2025
NPPES CertifiedSeptember 13, 2025
✔ NPI 1376414466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 17426-33
PO BOX 97, Green Lake, WI 54941
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Amanda Ellis Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204310436
PECOS Enrollment IDI20260325001773
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54941 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Melanie Ellis's NPI number?

The NPI number for Melanie Ellis is 1376414466. It was assigned to this individual provider in the NPPES registry on September 13, 2025.

Where is Melanie Ellis located?

Melanie Ellis practices at PO Box 97, Green Lake, WI 54941. The listed phone number is (920) 229-0686.

What is Melanie Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melanie Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Melanie Ellis was last updated on September 13, 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.