Ellen Jean Ettlie is a Janesville, Wisconsin based nurse practitioner with 5 years of experience in . She completed her graduation in 2019. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ellen Jean Ettlie is 9343-33 in Wisconsin. Her current practice location is 3200 E Racine St, Janesville. Patients can reach her at 608-371-8000 or can fax her at 608-371-8938. Ellen Jean Ettlie is APNP and her NPI number (Unique professional ID assigned by NPPES) is 1679128771. Ellen Jean Ettlie 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:
Ellen Jean Ettlie speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ellen Jean Ettlie
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APNP
Experience:
5+ years
Medical School Attended:
Other
Graduation Year:
2019
Accepts Medicare Assignment:
Yes
Practice Address:
3200 E Racine St, Janesville, Wisconsin, 53546-2343
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:
4789911629
Enrollment ID:
I20190814003787
NPI Number:
1679128771
NPI Enumeration Date:
06 Aug, 2019
NPI Last Update On:
11 Nov, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellen Jean Ettlie are as mentioned below.
License Number
Specialization
State
Status
9343-33
Wisconsin
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
(520208)
Janesville, WI
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 Ellen Jean Ettlie is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Dean Health Systems Inc (7012827983)
956
Other Medical Identifiers:
Other legacy medical identifiers associated with Ellen Jean Ettlie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1679128771
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ellen Jean Ettlie 1808 W Beltline Hwy, Madison, Wisconsin
Zip:
53713-2334
Phone Number:
608-250-1497
Fax Number:
608-250-1384
Patients can reach Ellen Jean Ettlie at 3200 E Racine St, Janesville, Wisconsin or can call to book an appointment on 608-371-8000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.