COLLEEN ERIN ELLIS FNP-C
NPI 1437539681
Nurse Practitioner - Family in Lake Orion, MI

Active since June 03, 2015PECOS EnrolledAccepts Medicare Assignment
1080 WALLOON WAY, LAKE ORION, MI 48360(248) 210-9115 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Colleen Erin Ellis Fnp-c NPPES

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

COLLEEN ERIN ELLIS FNP-C (NPI 1437539681) is an individual family provider in Lake Orion, Michigan, licensed in Michigan (4704262495) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1437539681
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLEEN ERIN ELLISCredential: FNP-C
Location Address1080 WALLOON WAYLake Orion, MI 48360-1318
Mailing Address1101 W University DrRochester Hills, MI 48307-1863
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 3, 2015
✔ NPI 1437539681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704262495
1080 WALLOON WAY, Lake Orion, MI 48360

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Colleen Erin Ellis Fnp-c 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 ID5193075919
PECOS Enrollment IDI20180829000260
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 Colleen Ellis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
Health Service
75 BARCLAY CIR STE 220
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 7 clinicians in this Medicare group
Cardiovascular Disease
37771 SCHOENHERR RD, SUITE 103
Sterling Heights, MI 48312
  • Reassigned Medicare billing, Michigan enrollment
  • 13 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.

Hospital Affiliations CMS Care Compare 3

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48360 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 Colleen Ellis's NPI number?

The NPI number for Colleen Ellis is 1437539681. It was assigned to this individual provider in the NPPES registry on June 3, 2015.

Where is Colleen Ellis located?

Colleen Ellis practices at 1080 Walloon Way, Lake Orion, MI 48360. The listed phone number is (248) 210-9115.

What is Colleen Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Colleen Ellis enrolled in Medicare?

Yes. Colleen Ellis 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.

Which organizations bill Medicare for Colleen Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Ellis reassigns Medicare benefits to 3 organizations: Henry Ford Health Rochester Hospital (Rochester, MI), Alpha Urgent Care PLLC (Rochester Hills, MI) and Cardiovascular Consultants PC (Sterling Heights, MI). 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 Colleen Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Colleen Ellis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Colleen 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.

Is Colleen Ellis affiliated with any hospitals?

According to CMS data, Colleen Ellis is affiliated with Henry Ford Macomb Hospital, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Colleen Ellis was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.