Kim M Ellingham, NP - Medicare Nurse Practitioner in Elkhorn, WI

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Kim M Ellingham, NP is a medicare enrolled "Nurse Practitioner" in Elkhorn, Wisconsin. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aamg Reach Pllc, Aurora Medical Group, Inc. and her current practice location is W3985 County Road Nn, Elkhorn, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 741-2000.

Kim M Ellingham is licensed to practice in Wisconsin (license number 5002) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265781231.

Contact Information

Kim M Ellingham, NP
W3985 County Road Nn,
Elkhorn, WI 53121-4337
(262) 741-2000
Not Available

Map and Direction




Provider's Profile

Full NameKim M Ellingham
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
LocationW3985 County Road Nn, Elkhorn, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim M Ellingham graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1265781231
  • Provider Enumeration Date: 09/05/2012
  • Last Update Date: 12/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1456500438
  • Enrollment ID: I20121008000259

Medical Identifiers

Medical identifiers for Kim M Ellingham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265781231NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5002 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora Lakeland Medical CenterElkhorn, WIHospital
Aurora Memorial Hospital BurlingtonBurlington, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aamg Reach Pllc559713326467
Aurora Medical Group, Inc.67097942583207

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. Kim M Ellingham allows following entities to bill medicare on her behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameAamg Reach Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609502707
PECOS PAC ID: 5597133264
Enrollment ID: O20221216002458

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. Kim M Ellingham 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
Kim M Ellingham, NP
W3985 County Road Nn,
Elkhorn, WI 53121-4337

Ph: (262) 741-2000		Kim M Ellingham, NP
W3985 County Road Nn,
Elkhorn, WI 53121-4337

Ph: (262) 741-2000

Reviews and Comments


Nurse Practitioner Nurses in Elkhorn, WI

Lynsea Monien, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: W3985 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-2000    
Susan Marie Egan, MSN,FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 201 E Morrissey Dr, Elkhorn, WI 53121
Phone: 262-741-1900    Fax: 262-741-1743
Mrs. Jessie Lamberty, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 E Morrissey Dr, Elkhorn, WI 53121
Phone: 262-741-1900    Fax: 262-741-1743
Sandra Homan, N.P., R.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 E Morrissy Dr, Elkhorn, WI 53121
Phone: 262-741-1900    
Kaylinn Anne Musto, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: W3985 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-2316    
Crista S. Herebia, NNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: W3985 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-2000    
Kristin Lyn Wasley, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: W3985 County Road Nn, Elkhorn, WI 53121
Phone: 262-741-2000    

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.