Active NPI
Ellen Ouellette, MD
- Family Medicine Physician
- Ganado, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 79194
- Practice address
- Cedar Hills Road & Az 264
Ganado, AZ 86505 - Phone
- (928) 755-4500
- Fax
- (928) 755-4659
- NPI assigned
- May 7, 2018
- Last updated
- Feb 5, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 79194 | AZ | Primary |
Addresses
Primary practice location
Cedar Hills Road & Az 264
Ganado, AZ 86505
Mailing address
US 191 and Az 264
Ganado, AZ 87571-6282
Phone (928) 755-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Arizona College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1329 Gusdorf Rd
Taos, NM 87571-6282
Phone (575) 751-8902
State Hwy 264 JCT Hwy 191
Ganado, AZ 86505-0457
Phone 92875545004933
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79194 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taos Health Systems Inc Holy Cross Hospital | Current | Accepting new patients | |
| Taos Professional Services, LLC | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients | |
| Taos Professional Services,LLC | Current | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Current | Accepting new patients |
Locations
1329 Gusdorf Rd
Taos, NM 87571
Phone (505) 758-5001
1397 Weimer Rd
Taos, NM 87571
Phone (575) 751-5746
Organizations & group practices 6
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.
-
dba Sage Memorial Physicians
- Rural Acute Care Hospital
- Ganado, AZ
- NPI 1477735777
-
- Surgery Physician
- Taos, NM
- NPI 1891070777
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
dba Sage Memorial Hospital
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
-
- General Practice Physician
- Taos, NM
- NPI 1235597964
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sage Memorial Hospital
- Critical Access Hospital Clinic/Center
- Ganado, AZ
- NPI 1518957398
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1144719048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "US 191 AND AZ 264",
"city": "GANADO",
"state": "AZ",
"postal_code": "875716282",
"telephone_number": "928-755-4500",
"fax_number": "928-755-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CEDAR HILLS ROAD & AZ 264",
"city": "GANADO",
"state": "AZ",
"postal_code": "86505",
"telephone_number": "928-755-4500",
"fax_number": "928-755-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUELLETTE",
"first_name": "ELLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "79194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ganado, AZ
- Navajo Health Foundation-Sage Memorial Hospital, Inc. (Sage Memorial Physicians)
- Navajo Health Foundation-Sage Memorial Hospital, Inc. (Sage Outpatient Clinic)
- Matthew Nelson, DO
- Richie Nez Sr.
- Melanie Neztsosie, FNP
- Susai Benije Pannir Selvam
- Muriel E Rosenfeld, PMHNP
- Sage Memorial Hospital
- Sage Memorial Hospital Behavioral Health Clinic
- Mark Charles Schermerhorn, MS, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.