Melanie Amanda Ellis, PMHNP-BC - Nurse Practitioner in Green Lake, WI

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Melanie Amanda Ellis, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Green Lake, Wisconsin. Melanie Amanda Ellis is licensed to practice in Wisconsin (license number 17426-33) and her current practice location is Po Box 97, Green Lake, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 229-0686.

NPI number for Melanie Amanda Ellis is 1376414466 and her current mailing address is Po Box 97, Green Lake, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376414466.

Contact Information

Melanie Amanda Ellis, PMHNP-BC
Po Box 97,
Green Lake, WI 54941-0097
(920) 229-0686
Not Available

Map and Direction




Provider's Profile

Full NameMelanie Amanda Ellis
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
LocationPo Box 97, Green Lake, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376414466
  • Provider Enumeration Date: 09/13/2025
  • Last Update Date: 09/13/2025

Medical Identifiers

Medical identifiers for Melanie Amanda Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376414466NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 17426-33 (Wisconsin)Primary

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. Melanie Amanda Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melanie Amanda Ellis, PMHNP-BC
Po Box 97,
Green Lake, WI 54941-0097

Ph: (920) 229-0686		Melanie Amanda Ellis, PMHNP-BC
Po Box 97,
Green Lake, WI 54941-0097

Ph: (920) 229-0686

Reviews and Comments


Nurse Practitioner Nurses in Green Lake, WI

Kellie Elizabeth Helmer, MSN, APNP, PMHNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 610 South St, Green Lake, WI 54941
Phone: 920-638-3557    
Mrs. Sandra Schwoerer, MSN, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 670 County Road A, Green Lake, WI 54941
Phone: 920-294-0100    Fax: 920-294-0123
Trina Hernandez, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 670 County Road A, Green Lake, WI 54941
Phone: 920-294-0100    Fax: 920-294-0123

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.