Active NPI 1578747085 Individual Practitioner Female Practitioner

Ellen B Ellickson , CNP

Nurse Practitioner - Gerontology • Saint Cloud, MN

Professional Overview & Biography Verified Profile Summary

Ellen Ellickson, CNP is a registered healthcare professional specializing in Nurse Practitioner - Gerontology in Saint Cloud, MN. Practice services are available at 1245 15TH ST N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1245 15th St N

Saint Cloud, MN 563031802

Telephone 3202032087

Associated Practice Facility / Clinic

🏢 Memory Disorders Clinic Facility NPI 1871700088

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Saint Cloud, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 7.5 Yrs

State Avg: 11.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Saint Cloud, MN (365 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License MN R 059057-8

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners

Robert Himmerick , PT

Physical Therapist

NPI 1134389778

Physical Therapist

Dr. Gary Strandemo , MD

Family Medicine

NPI 1144296070

Doctor of Medicine (M.D.)

Nicole Peterson , PT

Physical Therapist

NPI 1225017734

Physical Therapist

Patricia Lindbom , PT

Physical Therapist

NPI 1255308730

Physical Therapist

Lisa Laubach , LPT

Physical Therapist

NPI 1376518951

Lois Roback , MSW, LISW

Social Worker

NPI 1437359817

Master of Social Work, Licensed Independent Social Worker

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 19, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 19, 2007

Registered at 1245 15TH ST N, SAINT CLOUD, MN 563031802 (Tel: 3202032087)

📍

Updated Business Mailing Address December 19, 2007

Registered at 1245 15TH ST N, SAINT CLOUD, MN 563031802 (Tel: 3202032087)

👤

Provider Name / Credentials Updated December 19, 2007

Recorded as ELLEN ELLICKSON, CNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2007

Nurse Practitioner (License #R 059057-8 in MN)

🟢

Initial NPI Registration & Enumeration December 19, 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: 1578747085

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 19, 2007

Last Update: December 19, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1245 15th St N

Saint Cloud, MN 563031802

Phone: 3202032087

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.