Stephanie Ellenberger

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.18326 Issued in OH

Practice address

4100 Johnson Rd Ste 202
Steubenville, OH 43952-2372

Phone

(740) 264-8537

Fax

(740) 346-2024

NPI assigned

Oct 15, 2015

Last updated

Apr 21, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Merit-based Incentive Payment System (MIPS)

Final score

73.74 of 100Reported as group

Quality

48.02

Promoting interoperability

91

Improvement activities

40

Cost

71.96

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: sellenberger642402@direct.wvuhsdirect.com

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1568833689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMMIT AVE",
            "address_2": "MSO PHYSICIAN BILLING",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522667",
            "telephone_number": "740-283-7597",
            "fax_number": "740-283-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD STE 202",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522372",
            "telephone_number": "740-264-8537",
            "fax_number": "740-346-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLENBERGER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.18326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0149782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Ann Egyud
• Susan Marie Eisenmann
• Yasser Eldaour, MD
• Elizaga & Elizaga Associates, Inc.
• Teodora Balquiedra Elizaga, M.D.
• Courtney Elliott
• Sarah Elliott
• Hatem Eltaly, MD
• Mosaab Adnan Elyaman, DO
• Nasser Emami, DMD DDS

• Family Nurse Practitioner in Steubenville, OH
• Providers in Steubenville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.