ELLA PRESTON (APNP) – Nurse Practitioner, NPI 1225858657

ELLA PRESTON (APNP) is a healthcare provider. based in Green bay, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 16048-33 (WI). The NPI Number for ELLA PRESTON (APNP) is 1225858657

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ELLA PRESTON (APNP)
NPI
1225858657
Phone
(920) 496-4700
Address
PO BOX 19070
Enumeration Date
11 October 2024
Last Update Date
20 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208468187
Graduation Year
2024 (2 years ago)
PAC ID
1456884345
Group Practice PAC ID
0446211395
Professional Enrollment ID
I20241030004096
Address ID
WI541541241OC855XXSTXX401

Contacts

Secure Messaging
epreston460637@ewd.direct.hshs.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Other namesUpdated within 12 months

6,035 NURSE PRACTITIONER in WI

Provider Addresses for ELLA PRESTON (APNP)

  • PO BOX 19070

    GREEN BAY, WI 543079070

    Phone: (920) 496-4700

    Type: Mailing

  • 855 S MAIN ST

    OCONTO FALLS, WI 541541241

    Phone: (920) 846-3444

    Type: Location

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: 2024-10-30

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
I20241030004096INurse PractitionerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54307)

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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: 0446211395View full group profile
NameSpecialtyState
Nurse PractitionerWI
Family Practice, Sports MedicineWI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
Family PracticeWI
Physician AssistantWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What unique ID ties claims to ELLA PRESTON (APNP)?
NPI 1225858657 is assigned to ELLA PRESTON (APNP) under the national enumeration system.
Is ELLA PRESTON (APNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ELLA PRESTON (APNP)?
The page reflects Nurse Practitioner for ELLA PRESTON (APNP). Clinical services aligned with this taxonomy classification.
What location shows for ELLA PRESTON (APNP)?
We surface Green Bay, Wisconsin for ELLA PRESTON (APNP) based on available NPPES addresses.
What if Green Bay, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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