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SUSAN ELLIS PNP
NPI 1871631796
Nurse Practitioner - Pediatrics in Muscatine, IA

Active since February 02, 2007
1609 CEDAR ST, MUSCATINE, IA 52761(563) 263-0122(563) 263-0520 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Ellis Pnp NPPES

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

SUSAN ELLIS PNP (NPI 1871631796) is an individual pediatrics provider in Muscatine, Iowa, licensed in Iowa (C-079193) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1871631796
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUSAN ELLISCredential: PNP
Location Address1609 CEDAR STMuscatine, IA 52761-3426
Mailing Address2048 Mississippi View DrMuscatine, IA 52761-8326 · (563) 264-1990
Phone(563) 263-0122
Fax(563) 263-0520
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871631796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IA · C-079193
1609 CEDAR ST, Muscatine, IA 52761
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Other Identifiers 3

Other22315IA · Blue Cross Blue Shield
Medicare UPINP17313IA
Medicare ID-Type UnspecifiedI0932IA

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNITY HEALTHCARE
Home Health
1609 CEDAR ST
MUSCATINE, IA 52761
Muscatine County (563) 263-3325
STELLERA ROTH RDN, LDN
Dietitian, Registered
1609 CEDAR ST
MUSCATINE, IA 52761
Muscatine County (708) 942-4687
KAIA PETERSEN ARNP
Nurse Practitioner (Women's Health)
1609 CEDAR ST
MUSCATINE, IA 52761
Muscatine County (563) 263-0122
UNITY HEALTHCARE
Hospice Care, Community Based
1609 CEDAR ST
MUSCATINE, IA 52761
Muscatine County (563) 263-3325
MRS. KATHARINE CAMPBELL ROSENTHAL RDN, LD
Dietitian, Registered
1609 CEDAR ST
MUSCATINE, IA 52761
Muscatine County (563) 262-4131
SUSAN M KRUEGER RN
Registered Nurse (Community Health)
1609 CEDAR ST
MUSCATINE, IA 52761
Muscatine County (563) 263-0122
UNITY HEALTHCARE
Public Health or Welfare
1609 CEDAR ST
MUSCATINE, IA 52761
Muscatine County (563) 263-0122
LOUISE MCDONOUGH RN, IBCLC
Registered Nurse (Lactation Consultant)
1609 CEDAR ST
MUSCATINE, IA 52761
Muscatine County (563) 299-2757

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 Susan Ellis's NPI number?

The NPI number for Susan Ellis is 1871631796. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Susan Ellis located?

Susan Ellis practices at 1609 Cedar St, Muscatine, IA 52761. The listed phone number is (563) 263-0122.

What is Susan Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Ellis 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.