Active NPI
Ellen Louise Olek, FNP-BC
- Family Nurse Practitioner
- Neenah, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209019307
- Practice address
- 130 2ND Street
Theda Clark Medical Plaza
Neenah, WI 54956-2883 - Phone
- (920) 831-5050
- Fax
- (920) 729-2104
- NPI assigned
- Jul 17, 2017
- Last updated
- Jul 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN270559 | GA | |
| Family Nurse Practitioner | 363LF0000X | 9062 | WI | |
| Family Nurse Practitioner | 363LF0000X | 209019307 | IL | Primary |
Addresses
Primary practice location
130 2ND Street
Theda Clark Medical Plaza
Neenah, WI 54956-2883
Mailing address
604 32ND St
Rock Island, IL 61201-2029
Phone (630) 217-8686
Other practice location 1
211 Bobby Jones Expy Ste C
Martinez, GA 30907-5253
Phone (706) 860-3355
Other practice location 2
3880 Salem Lake Dr Ste F
Long Grove, IL 60047-5292
Phone (847) 719-2220
Other practice location 3
820 E Grant St
Appleton, WI 54911-3483
Phone (920) 831-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209019307 | Medicaid | IL |
Other names 1
- Ellen Louise Hemmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2170 W Navajo Dr
Freeport, IL 61032-0010
Phone (815) 233-2400
2600 Compass Rd
Glenview, IL 60026-8001
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN270559 | GA | MD | Family Nurse Practitioner |
| 209019307 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmonycares Complete Health Services, PLLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Best Practices Inpatient Care, LTD | Current | Accepting new patients | |
| Best Practices Inpatient Care,LTD | Current | Accepting new patients | |
| Karefirst Illinois PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Best Practices Inpatient Care, LTD. | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients |
Locations
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220
2170 W Navajo Dr
Freeport, IL 61032
Phone (815) 233-2400
1010 S Logan St
Lena, IL 61048
Phone (815) 369-4561
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220
6631 N Milwaukee Ave
Niles, IL 60714
Phone 84723561303
Organizations & group practices 9
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.
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- NPI 1346368248
-
- Internal Medicine Physician
- Barrington, IL
- NPI 1265755664
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- Internal Medicine Physician
- Wyoming, MI
- NPI 1417240946
-
dba HarmonyCares Health Services
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1700309234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 32ND ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612012029",
"telephone_number": "630-217-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 2ND STREET",
"address_2": "THEDA CLARK MEDICAL PLAZA",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562883",
"telephone_number": "920-831-5050",
"fax_number": "920-729-2104"
}
],
"practiceLocations": [
{
"address_1": "211 Bobby Jones Expy Ste C",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "GA",
"postal_code": "309075253",
"country_code": "US",
"telephone_number": "706-860-3355",
"fax_number": "706-860-8765",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3880 Salem Lake Dr Ste F",
"address_purpose": "LOCATION",
"city": "Long Grove",
"state": "IL",
"postal_code": "600475292",
"country_code": "US",
"telephone_number": "847-719-2220",
"fax_number": "847-719-2265",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 E Grant St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113483",
"country_code": "US",
"telephone_number": "920-831-5050",
"fax_number": "920-738-6400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLEK",
"first_name": "ELLEN",
"middle_name": "LOUISE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN270559",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "9062",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209019307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209019307",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "HEMMER",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.