ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1720502594

ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) is a healthcare provider. based in Dearborn, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials RN, MSN, AGACNP-BC. They hold a License No. 4704242320 (MI). The NPI Number for ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) is 1720502594

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ERICA MARIE ELLUL (RN, MSN, AGACNP-BC)
NPI
1720502594
Phone
(313) 359-2100
Address
1537 MONROE ST STE 100
Enumeration Date
2 August 2017
Last Update Date
2 August 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133592100
Graduation Year
2017 (9 years ago)
PAC ID
6608130745
Group Practice PAC ID
4587833413
Professional Enrollment ID
I20180426000642
Address ID
MI481242842DE1537XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for ERICA MARIE ELLUL (RN, MSN, AGACNP-BC)

  • Monroe Street, Southwestern Outer Drive, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 481242842

    Phone: (313) 359-2100

    Fax: (313) 359-2104

    Type: Location

  • 41672 W VILLAGE GREEN BLVD APT 205

    CANTON, MI 481873875

    Phone: (313) 613-1657

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-04-26

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
I20180426000642INurse PractitionerMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes13390$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes13287$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2828$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 48124)

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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: 4587833413View full group profile
NameSpecialtyState
N E P H R O L O G YMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

What NPI should I save for ERICA MARIE ELLUL (RN, MSN, AGACNP-BC)?
Save NPI 1720502594 if you need a stable reference for ERICA MARIE ELLUL (RN, MSN, AGACNP-BC).
Does this profile mean ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) is currently active?
Yes — ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) appears active in the national provider directory.
Can you summarize ERICA MARIE ELLUL (RN, MSN, AGACNP-BC)'s specialty in plain language?
Clinically, the directory lists ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) practice in Michigan?
You will see Dearborn, Michigan on file for ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) alongside any extra practice locations.
Is ERICA MARIE ELLUL (RN, MSN, AGACNP-BC) a real provider?
This page reflects official NPPES data for NPI 1720502594. Always confirm identity and privileges with the practice and licensing boards.

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