Stephen M. Ellestad, DO
Individual provider Active NPI Emergency Medicine Physician · Decorah, IA
NPI 1124009634 · NPPES record last updated Apr 8, 2021
Key facts
- NPI
- 1124009634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 02380 (IA)
- Practice address
- 502 Mound St
Decorah, IA 52101-1508 - Phone
- (563) 382-0118
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 27
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.84 of 100
- Quality
- 91.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.67
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060118000424 | IA | Practitioner - Emergency Medicine |
3971527839 | Reassigns benefits to 16 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02380 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucas County Heatlh Center | Current |
Accepting new patients | |
| Davis County Hospital | Current |
Accepting new patients | |
| Hancock County Health System | Current |
Accepting new patients | |
| Pocahontas Community Hospital | Current |
Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current |
Accepting new patients | |
| Alegent Health - Mercy Hospital, Corning Iowa | Current | Accepting new patients | |
| Grinnell Regional Medical Center | Current |
Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current |
Accepting new patients | |
| Davis County Hospital | Current | Accepting new patients | |
| Pocahontas Community Hospital | Current | Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Franklin General Hospital | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Emergency Medicine | Current |
Accepting new patients |
| Lucas County Health Center | Current |
Accepting new patients | |
| Knoxville Community Hospital Inc | Current |
Accepting new patients | |
| Davis County Hospital | Current |
Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Alegent Health - Mercy Hospital, Corning, Iowa | Current |
Accepting new patients | |
| Jefferson County Hospital | Current |
Accepting new patients | |
| Grinnell Regional Medical Center | Current |
Accepting new patients | |
| Alegent Health - Mercy Hospital, Corning Iowa | Current | Accepting new patients | |
| Alegent Health Mercy Hospital Corning, Iowa | Emergency Medicine | Current |
Accepting new patients |
| Knoxville Community Hospital Inc | Emergency Medicine | Current |
Accepting new patients |
| Mercy Medical Center-Centerville | Past | Accepting new patients |
Locations
509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145
532 1st St NW
Britt, IA 50423
Phone (641) 843-4403
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000
603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121
100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500
100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021
2000 S Main St
Fairfield, IA 52556
Phone (641) 469-4204
210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055
1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114
1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464
606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501
Interoperability endpoints
- sellestad87887@uihcdirect.org
- sellestad672027@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02380 | IA | Yes |
Addresses
Primary practice location
502 Mound St
Decorah, IA 52101-1508
Mailing address
502 Mound St
Decorah, IA 52101-1508
Phone (563) 382-0118
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | HIM@flmhn.cernerdirect.com | Direct | |
| FHIR URL | HIM@flmhn.cernerdirect.com | Direct |
Other providers in Decorah, IA
- Donlon Drug, Inc.
- Driftless Counseling LLC
- Chelsey Durnan
- Janna Figg Edrington
- David Eldridge
- Alexandra Engelken
- Jason Engelken
- Diane Jean Ernst
- Tracy Lynn Essa
- Euro Team Physical Therapy Clinic,PC
All providers in Decorah, IA · Emergency Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.