Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811106222 Individual Practitioner Female Practitioner

Ellen M Dethloff , NP

Nurse Practitioner • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Ellen Dethloff, NP is a registered healthcare professional specializing in Nurse Practitioner in Daytona Beach, FL. Practice services are available at 303 N CLYDE MORRIS BLVD # 8E under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

303 N Clyde Morris Blvd # 8e
Coordinator Education-Clinical Affiliates

Daytona Beach, FL 321142709

Telephone 3864255800
Fax 3864255801

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.1 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Daytona Beach, FL (8990 Statewide)

Telehealth Adoption Rate
6.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
65 41 $182.00 $54.75

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP 9373273

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License NY 300456

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2014

Registered at 303 N CLYDE MORRIS BLVD # 8E, COORDINATOR EDUCATION-CLINICAL AFFILIATES, DAYTONA BEACH, FL 321142709 (Tel: 3864255800)

📍
Updated Business Mailing Address April 14, 2014

Registered at 303 N CLYDE MORRIS BLVD # 8E, COORDINATOR EDUCATION-CLINICAL AFFILIATES, DAYTONA BEACH, FL 321142709 (Tel: 3864255921)

👤
Provider Name / Credentials Updated April 14, 2014

Recorded as ELLEN DETHLOFF, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2014

Nurse Practitioner (License #ARNP 9373273 in FL)

🟢
Initial NPI Registration & Enumeration May 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811106222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: April 14, 2014
Sole Proprietor: No

Mailing Address

303 N Clyde Morris Blvd # 8e, Coordinator Education-Clinical Affiliates

Daytona Beach, FL 321142709

Phone: 3864255921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.