Ellen Jean Ettlie, APNP in Janesville, WI - Medicare Nurse Practitioner

Ellen Jean Ettlie, APNP is a medicare enrolled "Nurse Practitioner" in Janesville, Wisconsin. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Health System Corporation and her current practice location is 3200 E Racine St, Janesville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 371-8000.

Ellen Jean Ettlie is licensed to practice in Wisconsin (license number 9343-33) 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 1679128771.

Contact Information

	Ellen Jean Ettlie, APNP
	3200 E Racine St, Janesville, WI 53546-2343
	(608) 371-8000
	(608) 371-8938

Map and Direction

Provider's Profile

Full Name	Ellen Jean Ettlie
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3200 E Racine St, Janesville, Wisconsin
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 Jean Ettlie graduated from nursing school in 2019

NPI Data:

NPI Number: 1679128771
Provider Enumeration Date: 08/06/2019
Last Update Date: 11/11/2020

Medicare PECOS Information:

PECOS PAC ID: 4789911629
Enrollment ID: I20190814003787

Medical Identifiers

Medical identifiers for Ellen Jean Ettlie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679128771	NPI	-	NPPES
1679128771	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	9343-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health System Corp	Janesville, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health System Corporation	7416860440	475

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 Jean Ettlie allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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 Jean Ettlie 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 Jean Ettlie, APNP 1808 W Beltline Hwy, Madison, WI 53713-2334 Ph: (608) 250-1497	Ellen Jean Ettlie, APNP 3200 E Racine St, Janesville, WI 53546-2343 Ph: (608) 371-8000

Reviews and Comments

Nurse Practitioner Nurses in Janesville, WI

Bonnie L Poppy, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 E Racine St, Janesville, WI 53546 Phone: 608-371-8000 Fax: 608-371-8939
Jodi Lynn Kurtz, DNP NP-C, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2419 Morse St, Janesville, WI 53545 Phone: 608-758-9300
Erika R Brown, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Deerfield Dr, Janesville, WI 53546 Phone: 608-314-3660
Jennifer Laura Wimmer, APNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6039 Fax: 608-756-6870
Kathryn D Wroblewski, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6500
Linda P Brethauer, RN NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6800
Stephanie K. Schlueter, APRN, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6588 Fax: 608-756-4737

Ellen Jean Ettlie, APNP - Medicare Nurse Practitioner in Janesville, WI