Individual provider Active NPI

Stephen Ellis, APNP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1174397194
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15670-33 Issued in WI
Practice address
3070 N 51St St FL 6
Milwaukee, WI 53210-1645
Phone
(414) 465-6520
NPI assigned
Nov 9, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15670-33 WI Primary
Emergency Registered Nurse 163WE0003X 164543-30 WI

Addresses

Primary practice location

3070 N 51St St FL 6
Milwaukee, WI 53210-1645

Mailing address

3070 N 51St St FL 6
Milwaukee, WI 53210-1645
Phone (414) 465-6520

Other practice location 1

5000 West Chambers St
7th Fl/7 West
Milwaukee, WI 53210-1645
Phone (414) 445-6520 ext. 6843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119003518 WI Practitioner - Nurse Practitioner 1557896149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3070 N 51St St
Suite 601
Milwaukee, WI 53210-1663
Phone (414) 302-5404

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
164543-30WIMDEmergency Registered Nurse
15670-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Nov 12, 2024 Accepting new patients
Best Foot and Ankle Care LLC PastSince Nov 1, 2024 Accepting new patients
Wheaton Franciscan Medical Group PastSince Nov 1, 2024 Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

5000 W Chambers St
Fl 7
Milwaukee, WI 53210
Phone 4144456520 ext. 6843

3070 N 51st St
Fl 6
Milwaukee, WI 53210
Phone (414) 445-6520

3070 N 51st St
Ste 601
Milwaukee, WI 53210
Phone (414) 302-5404

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1174397194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST FL 6",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "414-465-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N 51ST ST FL 6",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101645",
            "telephone_number": "414-465-6520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 West Chambers St",
            "address_2": "7th Fl/7 West",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532101645",
            "country_code": "US",
            "telephone_number": "414-445-6520 x6843",
            "fax_number": "414-445-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEPHEN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15670-33",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "WI",
            "license": "164543-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.