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Active NPI 1659045524 Individual Practitioner Female Practitioner

Heather Renea Ellerbrock , LPN, MDS COORDINATOR

Licensed Practical Nurse • Kalida, OH

Professional Overview & Biography Verified Profile Summary

Heather Ellerbrock, LPN, MDS COORDINATOR is a registered healthcare professional specializing in Licensed Practical Nurse in Kalida, OH. Practice services are available at 755 OTTAWA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

755 Ottawa St

Kalida, OH 458532096

Telephone 4195322961
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Kalida, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Kalida, OH (13034 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2021-08-04
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License OH 154693

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Tiffany Spangler

Registered Nurse - Administrator

NPI 1053989285
Taryn Niese , RN

Registered Nurse - Wound Care

NPI 1255040226

Registered Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2021

Registered at 755 OTTAWA ST, KALIDA, OH 458532096 (Tel: 4195322961)

📍
Updated Business Mailing Address August 04, 2021

Registered at 755 OTTAWA ST, KALIDA, OH 458532096 (Tel: 4195322961)

👤
Provider Name / Credentials Updated August 04, 2021

Recorded as HEATHER ELLERBROCK, LPN/MDS COORDINATOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Licensed Practical Nurse (License #154693 in OH)

🟢
Initial NPI Registration & Enumeration August 04, 2021

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: 1659045524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2021
Last Update: August 04, 2021
Sole Proprietor: No

Mailing Address

755 Ottawa St

Kalida, OH 458532096

Phone: 4195322961

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.