ANGELA JF ELLINGSON MS, OTR/L
NPI 1790900520
Occupational Therapist - Pediatrics in Bloomington, MN
About Angela Jf Ellingson Ms, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA JF ELLINGSON MS, OTR/L (NPI 1790900520) is an individual pediatrics provider in Bloomington, Minnesota, licensed in Minnesota (103170) and active in the NPI registry since April 2007.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela Jf Ellingson Ms, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Angela Ellingson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 59 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, MN 55420
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 Angela Ellingson's NPI number?
The NPI number for Angela Ellingson is 1790900520. It was assigned to this individual provider in the NPPES registry on April 16, 2007. The provider is also known as Angela Jean Feneis.
Where is Angela Ellingson located?
Angela Ellingson practices at 900 West 94th Street, Bloomington, MN 55420. The listed phone number is (952) 885-0418.
What is Angela Ellingson's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Angela Ellingson enrolled in Medicare?
Yes. Angela Ellingson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Angela Ellingson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Ellingson reassigns Medicare benefits to Family Achievement Center Inc. (Woodbury, 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 Angela Ellingson'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 Angela Ellingson was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.