Active NPI
Ellen June Middleton, NP
- Obstetrics & Gynecology Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 7968
- Practice address
- 2210 E Illinois Ave Ste 408
Fresno, CA 93701-2184 - Phone
- (559) 443-2694
- Fax
- (559) 443-2696
- NPI assigned
- Nov 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 7968 | CA | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 333601 | CA |
Addresses
Primary practice location
2210 E Illinois Ave Ste 408
Fresno, CA 93701-2184
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Phone (559) 443-2682
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN333601 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2210 E Illinois Ave
Suite 408
Fresno, CA 93701-2184
Phone (559) 443-2694
Hospital & facility affiliations
- Clovis Community Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 76.71
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7968 | CA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Faculty Associates, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Central California Faculty Medical Group, Inc. | Current | Accepting new patients | |
| University Faculty Associates , Inc. | Current | Accepting new patients | |
| University Faculty Associates, Inc. | Past | Accepting new patients |
Locations
290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101
2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100
2210 E Illinois Ave
Ste 408
Fresno, CA 93701
Phone (559) 443-2694
2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965
2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
Interoperability endpoints
- ellen.middleton.1@31788.direct.athenahealth.com
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.
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1457603573
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
Obstetrics & Gynecology
-
- Vascular Surgery Physician
- Fresno, CA
- NPI 1881092963
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1235537283
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1245301340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 E DIVISADERO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211431",
"telephone_number": "559-443-2682",
"fax_number": "559-443-2681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 E ILLINOIS AVE STE 408",
"city": "FRESNO",
"state": "CA",
"postal_code": "937012184",
"telephone_number": "559-443-2694",
"fax_number": "559-443-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "ELLEN",
"middle_name": "JUNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-11",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "7968",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "333601",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN333601",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.