Individual provider Active NPI

Ellie James Barker, MD

  • Family Medicine Physician
  • Marquette, MI
National Provider Identifier
1972956860
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301110000 Issued in MI
Practice address
107 W Main St Ste 2
Marquette, MI 49855-4651
Phone
(906) 662-4070
Fax
(906) 662-4091
NPI assigned
Jul 15, 2016
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301110000 MI Primary

Addresses

Primary practice location

107 W Main St Ste 2
Marquette, MI 49855-4651

Mailing address

107 W Main St Ste 2
Marquette, MI 49855-4651
Phone (906) 662-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160825000351 MI Practitioner - Family Practice 6406141746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Singletrack Health PCGroup PAC ID 6608174131, 4 clinicians

Practice addresses (Care Compare)

107 W Main St
Suite 2
Marquette, MI 49855-4651
Phone (906) 662-4070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301110000MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singletrack Health, PC Family Medicine CurrentSince Aug 12, 2019 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Aug 1, 2016 Accepting new patients
DLP Marquette Physician Practices Inc Family Medicine CurrentSince Aug 1, 2016 Accepting new patients

Locations

107 W Main St
Ste 2
Marquette, MI 49855
Phone (906) 662-4070

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

Interoperability endpoints

  • Direct secure messaging: ebarker867088@direct.hfhs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCEJDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1972956860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST STE 2",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554651",
            "telephone_number": "906-662-4070",
            "fax_number": "906-662-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN ST STE 2",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554651",
            "telephone_number": "906-662-4070",
            "fax_number": "906-662-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "ELLIE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301110000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.