ELISHEVA ELLENBERG
NPI 1831711936
Nurse Practitioner - Family in Warren, MI

Q: What is Elisheva Ellenberg's NPI number?

The NPI number for Elisheva Ellenberg is 1831711936. It was assigned to this individual provider in the NPPES registry on May 12, 2020.

Q: What is Elisheva Ellenberg's specialty?

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

Active since May 12, 2020PECOS Enrolled

11800 E 12 MILE RD, WARREN, MI 48093(773) 517-7931 Get Directions Write a Review

NPPES record last updated: May 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Elisheva Ellenberg NPPES

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

ELISHEVA ELLENBERG (NPI 1831711936) is an individual family provider in Warren, Michigan, licensed in Michigan (4704311157) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831711936

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameELISHEVA ELLENBERG

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address16986 Hilton StSouthfield, MI 48075-1915 · (773) 517-7931

Phone(773) 517-7931

Sole ProprietorNo

Enumeration DateMay 12, 2020

NPPES CertifiedMay 12, 2020

✔ NPI 1831711936 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 · 4704311157

11800 E 12 MILE RD, Warren, MI 48093

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Accepted Insurance

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

Elisheva Ellenberg 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 48093 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.

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.

DR. MICHEAL BUGGIA M.D.

Emergency Medicine