ELLEN EVERHART OTR/L
NPI 1710858618
Occupational Therapist in Blaine, MN
About Ellen Everhart Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN EVERHART OTR/L (NPI 1710858618) is an individual occupational therapist in Blaine, Minnesota, licensed in Minnesota (107905) and active in the NPI registry since September 2025. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen Everhart Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellen Everhart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coon Rapids, MN 55448
- Reassigned Medicare billing, Minnesota enrollment
- 89 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLAINE, MN 55434
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 Ellen Everhart's NPI number?
The NPI number for Ellen Everhart is 1710858618. It was assigned to this individual provider in the NPPES registry on September 15, 2025.
Where is Ellen Everhart located?
Ellen Everhart practices at 11855 Ulysses St NE Ste 20, Blaine, MN 55434. The listed phone number is (763) 767-3140.
What is Ellen Everhart's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Ellen Everhart enrolled in Medicare?
Yes. Ellen Everhart is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellen Everhart's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Everhart reassigns Medicare benefits to Novacare Outpatient Rehabilitation East, Inc. (Coon Rapids, MN). The 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 Ellen Everhart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ellen Everhart was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.