Ellen Shafer, RN, FNP - Medicare Nurse Practitioner in Berkley, MI

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Ellen Shafer, RN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Berkley, Michigan. Her current practice location is 3221 Kenmore Rd, Berkley, Michigan. You can reach out to her office (for appointments etc.) via phone at (970) 388-9816.

Ellen Shafer is licensed to practice in Michigan (license number 4704329612) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1851094940.

Contact Information

Ellen Shafer, RN, FNP
3221 Kenmore Rd,
Berkley, MI 48072-1619
(970) 388-9816
Not Available

Map and Direction




Provider's Profile

Full NameEllen Shafer
GenderFemale
SpecialityNurse Practitioner - Family
Location3221 Kenmore Rd, Berkley, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851094940
  • Provider Enumeration Date: 03/27/2023
  • Last Update Date: 05/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416399142
  • Enrollment ID: I20240528001293

Medical Identifiers

Medical identifiers for Ellen Shafer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851094940NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704329612 (Michigan)Secondary
363LF0000XNurse Practitioner - Family 4704329612 (Michigan)Primary

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 Shafer allows following entities to bill medicare on her behalf.
Entity NameTaylor Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013321033
PECOS PAC ID: 2769706381
Enrollment ID: O20150130000264
Entity NameBest Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952791105
PECOS PAC ID: 4082930722
Enrollment ID: O20150224001082
Entity NameYpsilanti Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881048494
PECOS PAC ID: 0244519809
Enrollment ID: O20161122002321
Entity NameCanton Urgent Care Walk-in Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649712480
PECOS PAC ID: 4486934452
Enrollment ID: O20161208001492
Entity NameClinton Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831610070
PECOS PAC ID: 7719257625
Enrollment ID: O20170726002006
Entity NameShelby Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285155119
PECOS PAC ID: 6800155417
Enrollment ID: O20180104001566
Entity NameRochester Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225554694
PECOS PAC ID: 4183983380
Enrollment ID: O20180116001545
Entity NameSterling Heights Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912413949
PECOS PAC ID: 5092077586
Enrollment ID: O20180321001039
Entity NameTroy Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720571227
PECOS PAC ID: 5799039061
Enrollment ID: O20181127000377
Entity NameChesterfield Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629547195
PECOS PAC ID: 7012253537
Enrollment ID: O20190103002800
Entity NameCommerce Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952823825
PECOS PAC ID: 1153663133
Enrollment ID: O20190423000066
Entity NameDoctors Urgent Care Sterling Heights West
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992464697
PECOS PAC ID: 7618368705
Enrollment ID: O20211228001439
Entity NameDoctors Urgent Care Troy West Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790428423
PECOS PAC ID: 1850778291
Enrollment ID: O20220524002255
Entity NameFarmington Hills Urgent Care Walk-in Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144956350
PECOS PAC ID: 0648652644
Enrollment ID: O20220808003271

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 Shafer 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 AddressPractice Location Address
Ellen Shafer, RN, FNP
3221 Kenmore Rd,
Berkley, MI 48072-1619

Ph: (970) 388-9816		Ellen Shafer, RN, FNP
3221 Kenmore Rd,
Berkley, MI 48072-1619

Ph: (970) 388-9816

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.