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Ellen M Ott , PNP

Nurse Practitioner - Pediatrics β€’ Onalaska, WI

Active NPI 1710981154 Individual Practitioner Female Practitioner
Practice location in NPPES

3111 Gundersen Drive
Onalaska, WI 54650

Call 6087968630 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3111 Gundersen Drive

Onalaska, WI 54650

Telephone 6087968630
Organization at the Same NPPES Address or Phone
Gundersen Clinic, Ltd. Facility NPI 1013137660

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Onalaska and Wisconsin

3 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Onalaska, WI (403 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES WI 1141
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
43865500 (WI)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Michael Mccormick , PA

Physician Assistant - Surgical

NPI 1700880333

Physician Assistant

Dr. James Munn , MD

Internal Medicine

NPI 1417959735

Doctor of Medicine (M.D.)

Dr. Sarah Naik , MD

Internal Medicine

NPI 1891797106

Doctor of Medicine (M.D.)

NPI 1467456830

Doctor of Optometry

NPI 1619979663

Doctor of Medicine (M.D.)

James Tomlin , PA

Physician Assistant - Medical

NPI 1376548768

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location June 06, 2018

Registered at 3111 GUNDERSEN DRIVE, ONALASKA, WI 54650 (Tel: 6087968630)

βœ…
NPI Profile Active April 29, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 29, 2015

Registered at 3111 GUNDERSEN DRIVE, ONALASKA, WI 546508512 (Tel: 6087968630)

πŸ“
Business Mailing Address (Initial Record) April 29, 2015

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

πŸ‘€
Provider Name / Credentials (Initial Record) April 29, 2015

Recorded as ELLEN OTT, PNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2015

Nurse Practitioner (license number reported to NPPES: WI 1141)

🟒
Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710981154
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 13, 2005
Last Update: June 06, 2018
Sole Proprietor: No

Mailing Address

1836 South Ave

La Crosse, WI 546015429

Phone: 6087827300

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.