Individual provider Active NPI

Denae Ellson, MS, WHNP-BC, CNM

  • Advanced Practice Midwife
  • Edina, MN
National Provider Identifier
1710504865
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
434 Issued in MN
Practice address
3625 W 65TH St Ste 100
Edina, MN 55435-2147
Phone
(952) 920-7001
NPI assigned
Jul 5, 2020
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 7526 MN
Advanced Practice Midwife 367A00000X 434 MN Primary

Addresses

Primary practice location

3625 W 65TH St Ste 100
Edina, MN 55435-2147

Mailing address

1109 Rhode Island Ave N
Golden Valley, MN 55427-4524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220303001864 MN Practitioner - Certified Nurse Midwife (CNM) 1254725401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Georgetown University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OBGYN of Minnesota PLLCGroup PAC ID 1355396110, 88 clinicians

Practice addresses (Care Compare)

305 E Nicollet Blvd
Suite 393
Burnsville, MN 55337-8328
Phone (952) 435-9505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
86.35
Promoting interoperability
100
Improvement activities
40
Cost
71.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Premier OBGYN of Minnesota PLLC CurrentSince Nov 20, 2021 Accepting new patients
Metropolitan Obstetrics & Gynecology Past Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

305 E Nicollet Blvd
Ste 393
Burnsville, MN 55337
Phone (952) 435-9505

3625 W 65th St
Ste 100
Minneapolis, MN 55435
Phone (952) 920-7001

Interoperability endpoints

  • Direct secure messaging: denae.ellson.1@20897.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1710504865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 RHODE ISLAND AVE N",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 W 65TH ST STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352147",
            "telephone_number": "952-920-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLSON",
        "first_name": "DENAE",
        "name_prefix": "Mrs.",
        "credential": "MS, WHNP-BC, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-05",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "7526",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.