NOELLE ELLIS MD - NPI 1376805770 - Pediatrics in Rogers, MN

Q: What is Noelle Ellis's NPI number?

The NPI number for Noelle Ellis is 1376805770. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Q: What is Noelle Ellis's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Noelle Ellis was last updated on July 21, 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.

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About Noelle Ellis Md NPPES

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

NOELLE ELLIS MD (NPI 1376805770) is an individual pediatrics provider in Rogers, Minnesota, licensed in Minnesota (113046) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1376805770

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameNOELLE ELLISCredential: MD

Location Address13980 NORTHDALE BLVDRogers, MN 55374-2147

Mailing Address13980 Northdale BlvdRogers, MN 55374-2147 · (763) 428-1920

Phone(763) 428-1920

Sole ProprietorNo

Enumeration DateJune 12, 2012

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1376805770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 113046

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13980 NORTHDALE BLVD, Rogers, MN 55374

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Secondary Practice Location 1

Location 12450 Riverside AveMinneapolis, MN 55454-1450 · Phone (763) 439-4943

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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 (PECOS)

Noelle Ellis Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55374 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 7

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

MR. WILLIAM N. KUNAU PNP

Nurse Practitioner (Pediatrics)