Individual provider Active NPI

Francine Ellison, NP

  • Nurse Practitioner
  • Southfield, MI
National Provider Identifier
1194103390
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704194653 Issued in MI
Practice address
17330 Northland Park CT
Southfield, MI 48075-4318
Phone
(248) 552-9500
Fax
(248) 552-8144
NPI assigned
May 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704194653 MI Primary

Addresses

Primary practice location

17330 Northland Park CT
Southfield, MI 48075-4318

Mailing address

17330 Northland Park CT
Southfield, MI 48075-4318
Phone (248) 552-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151026002178 MI Practitioner - Nurse Practitioner 2365335700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leonard Ellison Jr MD PCGroup PAC ID 2567412893, 2 clinicians

Practice addresses (Care Compare)

17330 Northland Park CT
Southfield, MI 48075-4318
Phone (248) 552-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704194653MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
U S Home Health Care, Inc. PastSince Apr 30, 2003 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ellison.francineellison@137738.advancedmd-direct.com

Organizations & group practices 2

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 4

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1194103390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754318",
            "telephone_number": "248-552-9500",
            "fax_number": "248-552-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 NORTHLAND PARK CT",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754318",
            "telephone_number": "248-552-9500",
            "fax_number": "248-552-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLISON",
        "first_name": "FRANCINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704194653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.