DR. MICHELE DEE ELLEFSON DNP, APNP
NPI 1528209574
Nurse Practitioner - Adult Health in Fond Du Lac, WI

Q: What is Michele Ellefson's NPI number?

The NPI number for Michele Ellefson is 1528209574. It was assigned to this individual provider in the NPPES registry on March 19, 2009.

Q: What is Michele Ellefson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Michele Ellefson was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 19, 2009PECOS EnrolledAccepts Medicare Assignment

421 CAMELOT DR, FOND DU LAC, WI 54935(920) 926-4939 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Michele Dee Ellefson Dnp, Apnp NPPES

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

DR. MICHELE DEE ELLEFSON DNP, APNP (NPI 1528209574) is an individual adult health provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (3696-33) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1528209574

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameDR. MICHELE DEE ELLEFSONCredential: DNP, APNP

Location Address421 CAMELOT DRFond Du Lac, WI 54935-8335

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8343

Phone(920) 926-4939

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMarch 19, 2009

Last NPPES UpdateOctober 20, 2020

NPPES CertifiedOctober 20, 2020

✔ NPI 1528209574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in WI · 3696-33

Also ListedRegistered NurseTaxonomy 163W00000X · License 125406-030 (WI)

421 CAMELOT DR, Fond Du Lac, WI 54935

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Other Identifiers 1

Medicaid1528209574WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Quartz.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

Dr. Michele Dee Ellefson Dnp, Apnp 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 ID4385782861

PECOS Enrollment IDI20091104000325

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

309 services154 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520088

Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County

Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521321

Location845 Parkside StRipon, WI 54971 · Fond Du Lac County

Emergency services

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521327

Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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.

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.

AGNESIAN HEALTHCARE INC

Durable Medical Equipment & Medical Supplies