Individual provider Active NPI

Ellen Marie Demars, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Apple Valley, MN
National Provider Identifier
1962074328
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8241 Issued in MN
Practice address
7300 147TH St W Ste 600
Apple Valley, MN 55124-7541
Phone
(952) 997-3020
NPI assigned
Jul 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8241 MN Primary

Addresses

Primary practice location

7300 147TH St W Ste 600
Apple Valley, MN 55124-7541

Mailing address

7300 147TH St W Ste 600
Apple Valley, MN 55124-7541
Phone (507) 451-2630

Other practice location 1

7300 147th St W Ste 600
Apple Valley, MN 55124-7541
Phone (952) 997-3020

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address messagec@direct.schrc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211103002208 MN Practitioner - Certified Clinical Nurse Specialist (CNS) 0648668061 Reassigns benefits to 1 organization
I20240108005248 MN Practitioner - Nurse Practitioner 0648668061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8241MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Healing Mental Health Services L.L.C Current Accepting new patients
Nystrom & Associates, LTD CurrentSince Jan 1, 2024 Accepting new patients
Family Support Services Inc. PastSince Dec 10, 2023 Accepting new patients

Locations

7300 147th St W
Ste 600
Apple Valley, MN 55124
Phone (952) 997-3020

6600 France Ave S
Ste 425
Edina, MN 55435
Phone (952) 243-8300

17685 Juniper Path
Ste 303
Lakeville, MN 55044
Phone (952) 214-8959

1856 Beam Ave
#200
Maplewood, MN 55109
Phone (651) 661-6550

1101 E 78th St
Ste 100
Minneapolis, MN 55420
Phone (952) 234-8604

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1962074328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 600",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "507-451-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 147TH ST W STE 600",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247541",
            "telephone_number": "952-997-3020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7300 147th St W Ste 600",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551247541",
            "country_code": "US",
            "telephone_number": "952-997-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMARS",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "messagec@direct.schrc.com",
            "affiliation": "N",
            "address_1": "610 Florence Ave",
            "city": "Owatonna",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550604704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

Verify at the official NPI Registry.