Stephen M. Ellestad, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

02380 Issued in IA

Practice address

502 Mound St
Decorah, IA 52101-1508

Phone

(563) 382-0118

NPI assigned

Nov 10, 2005

Last updated

Apr 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

91.84 of 100Reported as group

Quality

91.13

Promoting interoperability

100

Improvement activities

40

Cost

81.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sellestad672027@direct.unitypoint.org
• Direct secure messaging: sellestad87887@uihcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alegent Health - Mercy Hospital, Corning Iowa

  dba CHI Health Clinic

  • Family Medicine Physician
  • Corning, IA
  • NPI 1821134826
  Medicare reassignment NPD
• Alegent Health - Mercy Hospital, Corning, Iowa

  dba CHI Health Mercy Corning

  • Critical Access Hospital
  • Corning, IA
  • NPI 1699856260
  Medicare reassignment NPD
• Davis County Hospital

  • Specialist
  • Bloomfield, IA
  • NPI 1487740486
  Medicare reassignment NPD
• Davis County Hospital

  • Critical Access Hospital
  • Bloomfield, IA
  • NPI 1942255666
  Medicare reassignment NPD
• Grinnell Regional Medical Center

  dba Unitypoint Health - Grinnell Professional Services

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437663242
  Medicare reassignment NPD
• Hancock County Health System

  • Critical Access Hospital
  • Britt, IA
  • NPI 1689721318
  Medicare reassignment NPD
• Jefferson County Hospital

  dba Jefferson County Health Center

  • Critical Access Hospital
  • Fairfield, IA
  • NPI 1376648329
  Medicare reassignment NPD
• Jefferson County Hospital

  dba JCHC Richland Clinic

  • Rural Health Clinic/Center
  • Richland, IA
  • NPI 1881294536
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  dba Knoxville Hospital & Clinics

  • Emergency Medicine Physician
  • Knoxville, IA
  • NPI 1770591661
  Medicare reassignment NPD
• Lucas County Health Center

  • Critical Access Hospital
  • Chariton, IA
  • NPI 1588636351
  Medicare reassignment NPD
• Pocahontas Community Hospital

  • Critical Access Hospital
  • Pocahontas, IA
  • NPI 1346241213
  Medicare reassignment NPD
• Pocahontas Community Hospital

  • Critical Access Hospital
  • Pocahontas, IA
  • NPI 1609989581
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1124009634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 MOUND ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011508",
            "telephone_number": "563-382-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MOUND ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521011508",
            "telephone_number": "563-382-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLESTAD",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "02380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "HIM@flmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIM@flmhn.cernerdirect.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "925 10th Avenue Pl SE",
            "city": "Altoona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500092560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "HIM@flmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "HIM@flmhn.cernerdirect.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "925 10th Avenue Pl SE",
            "city": "Altoona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500092560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Janna Figg Edrington, RNC ARNP
• David Eldridge, RN
• Alexandra Engelken, DPT
• Jason Engelken, PT, DPT, SCS, ATC/L
• Diane Jean Ernst, ARNP
• Tracy Lynn Essa, MS
• Euro Team Physical Therapy Clinic,PC

• Emergency Medicine Physician in Decorah, IA
• Providers in Decorah, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.