Ellen Diane Stephan, CNP in Deer River, MN - Medicare Nurse Practitioner

Ellen Diane Stephan, CNP is a medicare enrolled "Nurse Practitioner - Family" in Deer River, Minnesota. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Polinsky Medical Rehabilitation Center, The Duluth Clinic Ltd and her current practice location is 1025 10th Ave Ne, Deer River, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 246-8275.

Ellen Diane Stephan is licensed to practice in Minnesota (license number R185045-3) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871873521.

Contact Information

	Ellen Diane Stephan, CNP
	1025 10th Ave Ne, Deer River, MN 56636-8703
	(218) 246-8275
	Not Available

Map and Direction

Provider's Profile

Full Name	Ellen Diane Stephan
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	1025 10th Ave Ne, Deer River, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Diane Stephan graduated from nursing school in 2011

NPI Data:

NPI Number: 1871873521
Provider Enumeration Date: 08/26/2011
Last Update Date: 02/22/2017

Medicare PECOS Information:

PECOS PAC ID: 5395911960
Enrollment ID: I20120103000376

Medical Identifiers

Medical identifiers for Ellen Diane Stephan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871873521	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R185045-3 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health Duluth	Duluth, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Polinsky Medical Rehabilitation Center	0941377360	205
The Duluth Clinic Ltd	2567374283	949

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ellen Diane Stephan allows following entities to bill medicare on her behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Diane Stephan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ellen Diane Stephan, CNP 4212 Grand Avenue, Eh West Duluth Clinic, Duluth, MN 55807-2737 Ph: (218) 786-3500	Ellen Diane Stephan, CNP 1025 10th Ave Ne, Deer River, MN 56636-8703 Ph: (218) 246-8275

Reviews and Comments

Nurse Practitioner Nurses in Deer River, MN

Kristina Lee Conner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 10th Ave Ne, Deer River, MN 56636 Phone: 218-246-8275
Mrs. Janna Lynn Block, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 10th Ave Ne Ste A, Essentia Health Deer River Clinic, Deer River, MN 56636 Phone: 218-246-8275
Tasha Waage, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 10th Ave Ne Ste A, Deer River, MN 56636 Phone: 218-246-8275
Mrs. Judy A. Garshelis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1025 10th Ave Ne, Essentia Health Deer River Clinic, Deer River, MN 56636 Phone: 218-246-8275
Dianna Mae Kachinske, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1025 10th Ave Ne, Deer River, MN 56636 Phone: 218-246-8275 Fax: 218-246-8279
Nancy Carol Zupan, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 10th Ave Ne Ste A, Deer River, MN 56636 Phone: 218-246-8275
Stephanie L Alexander, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 10th Ave Ne Ste A, Deer River, MN 56636 Phone: 218-246-8275 Fax: 218-246-8279

Ellen Diane Stephan, CNP - Medicare Nurse Practitioner in Deer River, MN