Bevin Lyle Ellenberg
CRNP | Nurse Practitioner | 10+ years Exp
3500 Highway 78 E Ste A, Jasper
Alabama, 35501-8908
205-387-0333
Bevin Lyle Ellenberg is a Jasper, Alabama based nurse practitioner with 10 years of experience as Nurse Practitioner. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Bevin Lyle Ellenberg is 1-140234 for Nurse Practitioner in Alabama. Her current practice location is 3500 Highway 78 E Ste A, Jasper. Patients can reach her at 205-387-0333 or can fax her at 256-534-2605. Bevin Lyle Ellenberg is CRNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1780100776.
Bevin Lyle Ellenberg has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Bevin Lyle Ellenberg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Bevin Lyle Ellenberg |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CRNP |
| Experience: | 10+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3500 Highway 78 E Ste A, Jasper,
Alabama, 35501-8908 |
| Phone: | 205-387-0333 |
| Fax: | 256-534-2605 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3173880168 |
| Enrollment ID: | I20171129002094 |
| NPI Number: | 1780100776 |
| NPI Enumeration Date: | 21 Aug, 2017 |
| NPI Last Update On: | 15 Jun, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bevin Lyle Ellenberg are as mentioned below.
| License Number | Specialization | State | Status | |
| 1-140234 | Nurse Practitioner | Alabama | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (010035) | Cullman, AL | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Bevin Lyle Ellenberg is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oncology Specialties, P.c. (1254328495) | 56 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bevin Lyle Ellenberg
Po Box 18428,
Huntsville, Alabama |
| Zip: | 35804-8428 |
| Phone Number: | 256-705-4224 |
| Fax Number: | 256-705-4135 |
Patients can reach Bevin Lyle Ellenberg at
3500 Highway 78 E Ste A, Jasper, Alabama or can
call to book an appointment on 205-387-0333.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.