Ellen N Canopy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2730-23 Issued in WI

Practice address

3004 Golf Rd
Eau Claire, WI 54701

Phone

(715) 514-2827

NPI assigned

May 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ellen N Schneider Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 17, 2019 through Jun 17, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prevea Clinic, Inc.

  • Internal Medicine Physician
  • Green Bay, WI
  • NPI 1306869276
  NPD (past)
• Sacred Heart Hospital of the Hospital Sisters- 3Rd Order of St Francis

  dba Prevea Health

  • Family Medicine Physician
  • Eau Claire, WI
  • NPI 1619355351
  NPD (past)

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1952693491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547018793",
            "telephone_number": "715-514-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 GOLF RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-514-2827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2509 County Highway I",
            "address_purpose": "LOCATION",
            "city": "Chippewa Falls",
            "state": "WI",
            "postal_code": "547292785",
            "country_code": "US",
            "telephone_number": "715-723-9138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANOPY",
        "first_name": "ELLEN",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2730-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952693491",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "SCHNEIDER",
            "middle_name": "N",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gena Leigh Callihan, LPC
• Debra Callow, NP
• Andrew D Calvin, MD
• Cynthia Lee Campbell, LCSW
• Nolan J Campbell, LPC
• Francisco Javier Cardenas Lara, MD
• Care Full Chiropractic Incorporated
• Laurie Theresa Carlsen, LMFT
• Carlson Chiropractic, LLC (Carlson Chiropractic Clinic)
• Carlson Consultants, LLC

• Physician Assistant in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.