Individual provider Active NPI

Ellen Ehleben

  • Primary Care Nurse Practitioner
  • Franklin, TN
National Provider Identifier
1508243718
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
19779 Issued in TN
Practice address
4588 Carothers Pkwy
Franklin, TN 37067-6577
Phone
(615) 716-4747
Fax
(615) 716-4085
NPI assigned
Apr 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 19779 TN Primary

Addresses

Primary practice location

4588 Carothers Pkwy
Franklin, TN 37067-6577

Mailing address

PO Box 440261
Nashville, TN 37244-0261
Phone (615) 329-0570

Other practice location 1

2410 Patterson St
Nashville, TN 37203-1551
Phone (615) 342-4850

Other names 1

  • Ellen Wilkinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151116000350 TN Practitioner - Nurse Practitioner 5698085058 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Oncology PLLC CurrentSince Sep 20, 2015 Accepting new patients
Tennessee Oncology,PLLC CurrentSince Sep 20, 2015 Accepting new patients
Tennessee Oncology PLLC PastSince Mar 5, 2023 Accepting new patients

Locations

4588 Carothers Pkwy
Franklin, TN 37067
Phone (615) 716-4747

2410 Patterson St
Nashville, TN 37203
Phone (615) 342-4850

2410 Patterson St
Bsmt
Nashville, TN 37203
Phone (615) 342-4850

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1508243718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440261",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440261",
            "telephone_number": "615-329-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4588 CAROTHERS PKWY",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676577",
            "telephone_number": "615-716-4747",
            "fax_number": "615-716-4085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2410 Patterson St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031551",
            "country_code": "US",
            "telephone_number": "615-342-4850",
            "fax_number": "615-342-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHLEBEN",
        "first_name": "ELLEN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "19779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "WILKINSON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

Verify at the official NPI Registry.