Active NPI
Megan Marie Ellingson, FNP
- Family Nurse Practitioner
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R180131-8
- Practice address
- 2355 Highway 36 W Ste 100
Roseville, MN 55113-3905 - Phone
- (651) 292-2000
- NPI assigned
- May 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R180131-8 | MN | |
| Family Nurse Practitioner | 363LF0000X | R180131-8 | MN | Primary |
Addresses
Primary practice location
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Mailing address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone (651) 292-2000
Other practice location 1
333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-7176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000
Hospital & facility affiliations
- Regions Hospital
- Allina United Hospital
- M Health Fairview St John'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.17 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 82.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R180131-8 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Imaging, LLC | Current | Accepting new patients | |
| Midwest Radiology, PA | Current | Accepting new patients | |
| Midwest Radiology Outpatient Imaging, LLC | Current | Accepting new patients | |
| Consulting Radiologists, LTD | Past | Accepting new patients |
Locations
14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333
6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777
12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888
11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600
4801 W 81st St
Ste 108
Minneapolis, MN 55437
Phone (952) 837-9700
8990 Springbrook Dr NW
Ste 140
Minneapolis, MN 55433
Phone (763) 792-1900
6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997
2355 Highway 36 W
Ste 100
Saint Paul, MN 55113
Phone (651) 292-0000
250 Thompson St
Saint Paul, MN 55102
Phone (651) 297-6504
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
514 Saint Peter St
Ste 100
Saint Paul, MN 55102
Phone (651) 726-6500
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Roseville, MN
- NPI 1952307175
-
- Diagnostic Radiology Physician
- Saint Paul, MN
- NPI 1720059264
-
- Radiology Clinic/Center
- Roseville, MN
- NPI 1427008937
-
- Diagnostic Radiology Physician
- Eden Prairie, MN
- NPI 1487730594
Hospital & facility affiliations 24
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Paul, MN
- NPI 1265474704
Hospital
-
- General Acute Care Hospital
- Saint Paul, MN
- NPI 1457319485
-
- General Acute Care Hospital
- Hastings, MN
- NPI 1508457045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1225398373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2355 HIGHWAY 36 W STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133905",
"telephone_number": "651-292-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 HIGHWAY 36 W STE 100",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133905",
"telephone_number": "651-292-2000"
}
],
"practiceLocations": [
{
"address_1": "333 Smith Ave N",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551022344",
"country_code": "US",
"telephone_number": "651-241-7176",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELLINGSON",
"first_name": "MEGAN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-23",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R180131-8",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R180131-8",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.