Elaine Mary Thelen
Individual provider Active NPI Family Nurse Practitioner · Melrose, MN
NPI 1720565617 · NPPES record last updated Jul 24, 2018
Key facts
- NPI
- 1720565617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6015 (MN)
- Practice address
- 525 Main St W
Melrose, MN 56352-1043 - Phone
- (320) 256-4231
- NPI assigned
- Jul 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centracare Health System - Melrose
Practice addresses (Care Compare)
525 Main St W
Melrose, MN 56352-1043
Phone (320) 256-4231
Hospital & facility affiliations
- Centracare Home Health
- Centracare Health System - Melrose Hospital
- Centracare Health System - Sauk Centre
- Centracare - St. Cloud Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181019000673 | MN | Practitioner - Nurse Practitioner | 4880947928 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Health System - Long Prairie | Current |
Accepting new patients | |
| Centracare Health System - Sauk Centre | Current | Accepting new patients | |
| Centracare Health-Paynesville LLC | Current |
Accepting new patients | |
| Centracare Health System - Melrose | Current |
Accepting new patients | |
| Centracare Health System - Sauk Centre | Current |
Accepting new patients | |
| Centracare Health System - Long Prairie | Current |
Accepting new patients | |
| Centracare Health-Paynesville LLC | Current | Accepting new patients | |
| Centracare Health System - Sauk Centre | Current |
Accepting new patients |
Locations
50 Centracare Dr
Long Prairie, MN 56347
Phone (320) 732-2131
525 Main St W
Melrose, MN 56352
Phone (320) 256-4228
200 W 1st St
Paynesville, MN 56362
Phone (320) 243-3767
425 Elm St N
Sauk Centre, MN 56378
Phone (320) 352-2221
Interoperability endpoints
- ethelen414071@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6015 | MN | Yes |
Addresses
Primary practice location
525 Main St W
Melrose, MN 56352-1043
Mailing address
525 Main St W
Melrose, MN 56352
Phone (320) 256-4231
Other providers in Melrose, MN
- Craig George Sawyer
- Kurt Edward Schwieters
- Mary C Schwieters
- Russell Roman Sieben
- Josie Lauren Stenger
- Jennifer Rose Tomford
- Gerald Wensmann
- Jill Marie Wilcken
- Sheila Wing
- Sarah Jane Zimmer
All providers in Melrose, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.