Individual provider Active NPI

Elena Borrelli, PA-C

  • Physician Assistant
  • Shelby Township, MI
National Provider Identifier
1518290337
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005627 Issued in MI
Practice address
13719 23 Mile Rd # 146
Shelby Township, MI 48315-2907
Phone
(248) 266-1355
NPI assigned
Sep 11, 2009
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005627 MI Primary
Surgical Physician Assistant 363AS0400X 5601005627 MI

Addresses

Primary practice location

13719 23 Mile Rd # 146
Shelby Township, MI 48315-2907

Mailing address

13719 23 Mile Rd
Ste 146
Shelby Township, MI 48315-2907
Phone (586) 212-6915

Other identifiers 1

IdentifierTypeStateIssuer
12024128OtherMICAQH

Other names 1

  • Elena Amato Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20091202000267 MI Practitioner - Physician Assistant 4688713720 Reassigns benefits to 2 organizations
Practice locations: Shelby Township, MI
I20250903001872 FL Practitioner - Physician Assistant 4688713720 Reassigns benefits to 1 organization
I20250909003431 IL Practitioner - Physician Assistant 4688713720 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

Practice addresses (Care Compare)

800 W Oakton St
Arlington Heights, IL 60004-4602
Phone (947) 368-7315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005627MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Online Urgent Care P.L.L.C. CurrentSince Sep 12, 2021 Accepting new patients
Complexcare Medical Group Midwest M PLLC Physician Assistant CurrentSince Sep 29, 2025 Accepting new patients
Theoria Medical Physician Assistant Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

207 Hospital Dr NE
Fort Walton Beach, FL 32548
Phone (850) 833-9165

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

6301 Lincoln Hwy
Matteson, IL 60443
Phone (708) 401-4400

2 Annable Ct
Sauget, IL 62206
Phone (314) 842-1900

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

13719 23 Mile Rd
Shelby Township, MI 48315
Phone (248) 266-1355

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1518290337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13719 23 MILE RD",
            "address_2": "STE 146",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152907",
            "telephone_number": "586-212-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13719 23 MILE RD # 146",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152907",
            "telephone_number": "248-266-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELLI",
        "first_name": "ELENA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005627",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601005627",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12024128",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "AMATO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.