Amy Rillo Ellingson, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

34585 Issued in MN

Practice address

1037 19TH Ave SW
Willmar, MN 56201-5005

Phone

(320) 214-1100

Fax

(320) 214-1155

NPI assigned

Oct 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Loyola University of Chicago, Stritch School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amy R Ellingson MD PAGroup PAC ID 3375694094, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aellingson29732@direct.centracare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amy R Ellingson MD PA

  dba Allergy & Asthma Specialty Clinic

  • Allergy Physician
  • Willmar, MN
  • NPI 1295907152
  Medicare reassignment Care Compare group NPD Authorized official
• CCM Health

  • Rural Health Clinic/Center
  • Milan, MN
  • NPI 1457132466
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Avera Marshall

  dba Avera Marshall Regional Medical Center

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016
  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417032160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COUNTRY CLUB DR NE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562012176",
            "telephone_number": "320-231-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 19TH AVE SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562015005",
            "telephone_number": "320-214-1100",
            "fax_number": "320-214-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGSON",
        "first_name": "AMY",
        "middle_name": "RILLO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MN",
            "license": "34585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Dybevik
• Peggy J Dykema, RN CRNP
• Heidi Eggers
• Shawna Lynn Nelson Ehlenbach, MSW LICSW
• Kya Elfering
• Mickala Elliot
• Lindsey Elliott
• Katlin Elmore, LPCC
• Shannon Elton, NURSE PRACTITIONER
• Embodied Counseling

• Allergy & Immunology Physician in Willmar, MN
• Providers in Willmar, MN by specialty
• Allergy & Immunology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.