Colleen Erin Ellis, FNP-C - Medicare Nurse Practitioner in Lake Orion, MI

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Colleen Erin Ellis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lake Orion, Michigan. Her current practice location is 1080 Walloon Way, Lake Orion, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 210-9115.

Colleen Erin Ellis is licensed to practice in Michigan (license number 4704262495) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437539681.

Contact Information

Colleen Erin Ellis, FNP-C
1080 Walloon Way,
Lake Orion, MI 48360-1318
(248) 210-9115
Not Available

Map and Direction




Provider's Profile

Full NameColleen Erin Ellis
GenderFemale
SpecialityNurse Practitioner - Family
Location1080 Walloon Way, Lake Orion, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437539681
  • Provider Enumeration Date: 06/03/2015
  • Last Update Date: 06/03/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5193075919
  • Enrollment ID: I20180829000260

Medical Identifiers

Medical identifiers for Colleen Erin Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437539681NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704262495 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Colleen Erin Ellis allows following entities to bill medicare on her behalf.
Entity NameAscension Providence Rochester Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427171511
PECOS PAC ID: 8820994098
Enrollment ID: O20040414000188
Entity NameAlpha Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326630716
PECOS PAC ID: 4486060845
Enrollment ID: O20210309002678

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Colleen Erin Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Colleen Erin Ellis, FNP-C
1101 W University Dr,
Rochester Hills, MI 48307-1863

Ph: () -		Colleen Erin Ellis, FNP-C
1080 Walloon Way,
Lake Orion, MI 48360-1318

Ph: (248) 210-9115

Reviews and Comments


Nurse Practitioner Nurses in Lake Orion, MI

Mr. Daniel Clark, NURSE PRACITIONER
Nurse Practitioner
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Practice Location: 3451 Bald Mountain Rd, Lake Orion, MI 48360
Phone: 248-330-5808    
Amy Olds,
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Practice Location: 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360
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Mrs. Jennifer Myers, MSN NP
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Practice Location: 1428 S Lapeer Rd, Lake Orion, MI 48360
Phone: 248-693-0543    
Brittany Shamoun,
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Practice Location: 1455 S Lapeer Rd Ste 100, Lake Orion, MI 48360
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Karma Maxwell, NP
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Practice Location: 3812 High Grove Way, Lake Orion, MI 48360
Phone: 248-802-4719    
Ms. Susan Louise Lyons, FNP
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Practice Location: 785 N Lapeer Rd, Suite 100, Lake Orion, MI 48362
Phone: 248-693-4271    
Jeffrey Thomas Snyder, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 1455 S Lapeer Rd Ste 102, Lake Orion, MI 48360
Phone: 248-232-0100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.