Ellen M Sparks, PA-C
Individual provider Active NPI Physician Assistant · Eau Claire, WI
NPI 1851601702 · NPPES record last updated May 11, 2023
Key facts
- NPI
- 1851601702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5713 (WI)
- Practice address
- 1221 Whipple St
Eau Claire, WI 54703-5200 - Phone
- (715) 838-5222
- NPI assigned
- Oct 13, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mayo Clinic Health System-Northwest Wisconsin Region Inc
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
1400 Bellinger St
Eau Claire, WI 54703-5222
Phone (715) 838-5222
733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone (715) 838-5222
Hospital & facility affiliations
- Mayo Clinic Health System Eau Claire Hospital
- Mayo Clinic Health System-Northland
- Mayo Clinic Health System-Red Cedar Inc
- Mayo Clinic Health System Chippewa Valley
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MT, WI
- 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 |
|---|---|---|---|---|
| I20160818002722 | MT | Practitioner - Physician Assistant | 7214112887 | Reassigns benefits to 1 organization |
| I20221021000017 | WI | Practitioner - Physician Assistant | 7214112887 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5713 | WI | MD | General Practice Dentistry |
| 50363 | MT | MD | Physician Assistant |
Practice roles
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1222 E Woodland Ave
Barron, WI 54812
Phone (715) 537-3166
1501 Thompson St
Bloomer, WI 54724
Phone (715) 568-2000
1720 Harding Ave
Ste 1
Eau Claire, WI 54701
Phone (715) 461-0463
900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
2321 Stout Rd
Menomonie, WI 54751
Phone (715) 235-5531
13025 8th St
Osseo, WI 54758
Phone (715) 597-2575
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50363 | MT | |
| Physician Assistant | 363A00000X | 5713 | WI | Yes |
Addresses
Primary practice location
1221 Whipple St
Eau Claire, WI 54703-5200
Mailing address
200 1St St SW
Rochester, MN 55905-0001
Phone (715) 838-5222
Other practice location 1
5920 McIntyre St
Golden, CO 80403-7445
Phone (303) 949-1250
Other practice location 2
3000 15th Ave S
Great Falls, MT 59405-5240
Phone (406) 454-2171
Other practice location 3
1720 Harding Ave Ste 1
Eau Claire, WI 54701-4861
Phone (715) 834-5511
Other names
- Ellen M Frick
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | esparks1935590@ehrdirect.mayoclinicmsg.org |
Other providers in Eau Claire, WI
- Adeloye Omoyemi Soyege
- Maria Joan Spadaro
- Michael John Spak
- Angela M Spangberg
- Leslie A Spangler
- Spears Pain & Rehab, S.C.
- Eric Richard Spears
- Mechelle Spears
- Dara Hey Specker
- Jennifer Speckien
All providers in Eau Claire, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2023. 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.