MR. CHRISTA LYNNE ELLINGSWORTH NP
NPI 1770655995
Nurse Practitioner - Family in Clarkston, MI

Q: What is Christa Ellingsworth's NPI number?

The NPI number for Christa Ellingsworth is 1770655995. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Christa Ellingsworth's specialty?

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

Active since November 14, 2006PECOS Enrolled

5724 SHANNON LN, CLARKSTON, MI 48348(248) 393-0043 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Christa Lynne Ellingsworth Np NPPES

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

MR. CHRISTA LYNNE ELLINGSWORTH NP (NPI 1770655995) is an individual family provider in Clarkston, Michigan, licensed in Michigan (4704195469) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770655995

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMR. CHRISTA LYNNE ELLINGSWORTHCredential: NP

Location Address5724 SHANNON LNClarkston, MI 48348-5165

Mailing Address5724 Shannon LnClarkston, MI 48348-5165 · (248) 393-0043

Phone(248) 393-0043

Sole ProprietorYes

Enumeration DateNovember 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1770655995 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 · 4704195469

5724 SHANNON LN, Clarkston, MI 48348

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Mr. Christa Lynne Ellingsworth Np 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 48348 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers39 claims41 services$15.10 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$4.96 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers39 claims41 services$72.47 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Christa Ellingsworth's NPI number?

The NPI number for Christa Ellingsworth is 1770655995. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Christa Ellingsworth located?

Christa Ellingsworth practices at 5724 Shannon Ln, Clarkston, MI 48348. The listed phone number is (248) 393-0043.

What is Christa Ellingsworth's specialty?

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

Is Christa Ellingsworth enrolled in Medicare?

Yes. Christa Ellingsworth is registered in the Medicare PECOS enrollment system.

What insurance does Christa Ellingsworth accept?

Health plans from CareSource list Christa Ellingsworth 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.

When was this NPI record last updated?

The NPPES record for Christa Ellingsworth was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.