Katie Rose Ellstrom, DNP, RN, PMHNP-BC - Nurse Practitioner in Southfield, MI

Katie Rose Ellstrom, DNP, RN, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Southfield, Michigan. Katie Rose Ellstrom is licensed to practice in Michigan (license number 4704339527) and her current practice location is 29500 Southfield Rd, Southfield, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 765-1795.

NPI number for Katie Rose Ellstrom is 1710752035 and her current mailing address is 29500 Southfield Rd, Southfield, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710752035.

Contact Information

Katie Rose Ellstrom, DNP, RN, PMHNP-BC
29500 Southfield Rd,
Southfield, MI 48076-2030
(248) 765-1795
Not Available

Map and Direction




Provider's Profile

Full NameKatie Rose Ellstrom
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location29500 Southfield Rd, Southfield, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710752035
  • Provider Enumeration Date: 11/16/2023
  • Last Update Date: 04/04/2024

Medical Identifiers

Medical identifiers for Katie Rose Ellstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710752035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 4704339527 (Michigan)Primary

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. Katie Rose Ellstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katie Rose Ellstrom, DNP, RN, PMHNP-BC
29500 Southfield Rd,
Southfield, MI 48076-2030

Ph: (248) 765-1795
Katie Rose Ellstrom, DNP, RN, PMHNP-BC
29500 Southfield Rd,
Southfield, MI 48076-2030

Ph: (248) 765-1795

Reviews and Comments


Nurse Practitioner Nurses in Southfield, MI

Mrs. Theonna Monique Hindmon-harris, NURSE PRACTITIONER
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Medicare: Medicare Enrolled
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Phone: 248-557-3337    Fax: 248-557-3339
Charmaine Adegeye,
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Ms. Jessica L Beacome, ACNP
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Practice Location: 16001 W 9 Mile Rd, 101 Fischer Center, Southfield, MI 48075
Phone: 248-849-8716    Fax: 248-849-2565
Teresea Ann Zarza, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-2528    Fax: 248-849-8256
Nicole Noel Silvestri, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-5806    Fax: 248-849-5489
Mrs. Caroline B Trapp, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 29201 Telegraph Rd, Suite 404, Southfield, MI 48034
Phone: 248-355-0880    Fax: 248-355-9232
Mrs. Bernadette Ann Bruno, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075
Phone: 248-849-2536    

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