Active NPI
Francine Ellison, NP
- Nurse Practitioner
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704194653
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704194653 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U S Home Health Care, Inc. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Southfield, MI
- NPI 1609821537
-
- Home Health Agency
- Detroit, MI
- NPI 1518911296
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Detroit Receiving Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1619289998
-
dba Harper University Hospital
- General Acute Care Hospital
- Detroit, MI
- NPI 1427360700
-
dba Vibra of Southeastern Michigan
- Long Term Care Hospital
- Lincoln Park, MI
- NPI 1508027624
Long-term care hospital
-
dba Vibra Hospital of Southeastern Michigan - DMC Campus
- Long Term Care Hospital
- Detroit, MI
- NPI 1447617915
Long-term care hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.