John Michael Ellison, FNP in Portland, OR - Medicare Nurse Practitioner

John Michael Ellison, FNP is a medicare enrolled "Nurse Practitioner - Family" in Portland, Oregon. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Providence Health And Services Oregon and his current practice location is 1321 Ne 99th Ave Ste 100, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 215-9900.

John Michael Ellison is licensed to practice in Oregon (license number 201390532NP-PP) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245672286.

Contact Information

	John Michael Ellison, FNP
	1321 Ne 99th Ave Ste 100, Portland, OR 97220-9437
	(503) 215-9900
	Not Available

Map and Direction

Provider's Profile

Full Name	John Michael Ellison
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1321 Ne 99th Ave Ste 100, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Michael Ellison graduated from nursing school in 2013

NPI Data:

NPI Number: 1245672286
Provider Enumeration Date: 07/18/2013
Last Update Date: 06/09/2023

Medicare PECOS Information:

PECOS PAC ID: 2163666306
Enrollment ID: I20130910000411

Medical Identifiers

Medical identifiers for John Michael Ellison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245672286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201390532NP-PP (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Willamette Falls Medical Center	Oregon city, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. John Michael Ellison allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. John Michael Ellison 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
John Michael Ellison, FNP Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494	John Michael Ellison, FNP 1321 Ne 99th Ave Ste 100, Portland, OR 97220-9437 Ph: (503) 215-9900

Reviews and Comments

Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-3988
Ms. Susan Irene Smith, RN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239 Phone: 971-202-5500 Fax: 971-202-5555
Iva Juric, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239 Phone: 503-494-4808
Ms. Jessica A Dudley, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3550 N Interstate Ave, Portland, OR 97227 Phone: 503-746-1575
Summer Morgan Massina, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209 Phone: 503-525-0090
Dr. Jeffery Wise, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210 Phone: 971-354-9242
A'lissa Richards, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12121 E Burnside St, Portland, OR 97216 Phone: 971-361-7700

John Michael Ellison, FNP - Medicare Nurse Practitioner in Portland, OR