Ellen Joy Elzinga, NP
Nurse Practitioner, Family in Schererville, IN. Individual provider (NPI-1).
NPI number1013755693
StatusActive
Last updated in NPPESSep 9, 2024
Details
- NPI
- 1013755693
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ellen Joy Elzinga
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2024
- Certification date
- Sep 9, 2024
- Last updated
- Sep 9, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71015620A | IN | Yes |
| 208D00000X | General Practice | 28266444A | IN |
Practice location
221 Us Highway 41 Ste ISchererville, IN 46375-1278
Phone 219-864-3950 · Fax 219-864-3952
Mailing address
Po Box 781076Detroit, MI 48278-1076
Phone 317-528-4800 · Fax 317-865-1479
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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