Brenda Lynn Ellingson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

269800 Issued in AZ

Practice address

11518 N Frontage Rd
Yuma, AZ 85367-8994

Phone

(928) 342-6500

NPI assigned

May 3, 2007

Last updated

Jul 31, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bio Family Clinic IncGroup PAC ID 2769668136, 37 clinicians

Indigo Healthcare LLCGroup PAC ID 6305260829, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Home health agency, Yuma, AZ, CCN 037192
• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bio Family Clinic Inc

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1821387051
  Medicare reassignment Care Compare group NPD
• Yuma Kidney & Dialysis Specialists PC

  • Nephrology Physician
  • Yuma, AZ
  • NPI 1295229672

  Nurse Practitioner

  Medicare reassignment NPD
• Indigo Healthcare LLC

  dba Finding Home Medical Services

  • Family Medicine Physician
  • Yuma, AZ
  • NPI 1891311171
  Care Compare group

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

• Amedisys Arizona, L.L.C.

  dba Amedisys Home Health

  • Home Health Agency
  • Yuma, AZ
  • NPI 1154307924
  Care Compare affiliation
• Yuma Regional Medical Center

  dba Onvida Health Yuma Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Care Compare affiliation

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1851513071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662329",
            "telephone_number": "928-247-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11518 N FRONTAGE RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853678994",
            "telephone_number": "928-342-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28841 Commerce Way Ste A3",
            "address_purpose": "LOCATION",
            "city": "Wellton",
            "state": "AZ",
            "postal_code": "853567063",
            "country_code": "US",
            "telephone_number": "928-785-4392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11274 S Fortuna Rd Ste I4",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853677849",
            "country_code": "US",
            "telephone_number": "928-345-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLINGSON",
        "first_name": "BRENDA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2023-07-31",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "269800",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-003850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Elg
• Sagi Hassan Elhassan
• Elicent Osteopractic Physical Therapy LLC
• Elite Physical Therapy and Pilates Rehabilitation PC
• Sofia Elizarraras, MS,BHT, CCST-I
• Johannah Elizabeth Elliott, ATC/LAT
• Steven Ellison, NURSE PRACTITIONER
• Jeanne Notto Elnadry, M.D.
• Mohamed M Elramah, D.O.,
• Kathleen Marie Embree, CNM, MSN

• Family Nurse Practitioner in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.