Julie Ellner, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD30804 Issued in WA

Practice address

9675 SE 36TH St Ste 100
Mercer Island, WA 98040-3723

Phone

(206) 275-2122

Fax

(206) 275-0860

NPI assigned

Jan 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jellner31862@direct.seattlechildrens.org

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.

• Seattle Children'S Hospital

  • Specialist
  • Seattle, WA
  • NPI 1003319500
  Medicare reassignment NPD
• Mercer Island Pediatric Associates

  • Pediatrics Physician
  • Mercer Island, WA
  • NPI 1336349422
  NPD (past) Authorized official
• Seattle Childrens Hospital

  • Clinic Pharmacy
  • Seattle, WA
  • NPI 1245342153
  NPD
• Seattle Children'S Hospital

  • Home Infusion Agency
  • Bothell, WA
  • NPI 1245383348
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1316925357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 SE 36TH ST STE 100",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403723",
            "telephone_number": "206-275-2122",
            "fax_number": "206-275-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 SE 36TH ST STE 100",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403723",
            "telephone_number": "206-275-2122",
            "fax_number": "206-275-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLNER",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "WA",
            "license": "MD30804",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD30804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1082056",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIDER NUMBER",
            "identifier": "EL0032",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Anne Earls, PH.D.
• Sandra Efseaff, MPT
• Valerie J Eggers, MSPT
• Donna Sirjord Ellis, LMHC
• Larah Ellis
• Mahsa Mana Emam, OD
• Hali Carson Enderby, DC
• Epiphany Dermatology of Washington PLLC
• Victoria Erman
• Eye Clinic of Bellevue LTD PS

• Pediatrics Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.

Verify at the official NPI Registry.