ALENA DAVIDA ELLERBROEK (MSN,FNP) – Family Nurse Practitioner, NPI 1376858654

ALENA DAVIDA ELLERBROEK (MSN,FNP) is a healthcare provider. based in Waverly, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN,FNP. They hold a License No. A123879 (IA). The NPI Number for ALENA DAVIDA ELLERBROEK (MSN,FNP) is 1376858654

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ALENA DAVIDA ELLERBROEK (MSN,FNP)
NPI
1376858654
Phone
(319) 234-6000
Address
312 9th St SW Ste 2000
Enumeration Date
11 August 2010
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3192346000
Graduation Year
2010 (16 years ago)
PAC ID
1254523673
Group Practice PAC ID
3173765294
Professional Enrollment ID
I20101004001210
Address ID
IA506772909WA312XXSWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for ALENA DAVIDA ELLERBROEK (MSN,FNP)

  • 312 9th St SW Ste 2000

    Waverly, IA 506772909

    Phone: (319) 234-6000

    Fax: (319) 234-6001

    Type: Location

  • PO BOX 2400

    WATERLOO, IA 507042400

    Phone: (319) 234-6000

    Fax: (319) 234-6001

    Type: Mailing

  • 3741 PHEASANT LN

    WATERLOO, IA 507015215

    Phone: (319) 234-6000

    Fax: (319) 234-6001

    Type: Location

  • 441 E SAN MARNAN DR

    SUITE 110

    WATERLOO, IA 507025900

    Phone: (319) 234-6000

    Fax: (319) 234-6001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $482.

Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.

Last reported payment date: 2024-10-03 • Largest payer in this snapshot: Janssen Biotech, Inc. ($218).

Total Amount

$482

General + Research + Ownership

Payments

24

Total payment records

General Amount

$482

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101004001210INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths1,307246$0
99213Established patient office or other outpatient visit, 20-29 minutes853617$0
17000Destruction of precancer skin growth, 1 growth437334$0
11102Biopsy of related skin growth, first growth264241$0
17110Destruction of skin growth, 1-14 growths235203$0
View full utilization report →

Insurance plans in this area (ZIP 50677)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173765294View full group profile
NameSpecialtyState
Physician AssistantIA
D E R M A T O L O G YIA

Reviews

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Frequently asked questions

Where can patients find ALENA DAVIDA ELLERBROEK (MSN,FNP)'s NPI?
You can confirm ALENA DAVIDA ELLERBROEK (MSN,FNP) with NPI 1376858654; it appears in the national provider directory.
Is ALENA DAVIDA ELLERBROEK (MSN,FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ALENA DAVIDA ELLERBROEK (MSN,FNP)?
The page reflects Family Nurse Practitioner for ALENA DAVIDA ELLERBROEK (MSN,FNP). Clinical services aligned with this taxonomy classification.
Where does public data place ALENA DAVIDA ELLERBROEK (MSN,FNP)?
The snapshot lists Waverly, Iowa for ALENA DAVIDA ELLERBROEK (MSN,FNP); download NPPES for the complete set.
What if Waverly, Iowa seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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