JUSTIN J ELLINGSTAD (PA-C) – Physician Assistant, NPI 1386130136
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for JUSTIN J ELLINGSTAD (PA-C)
719 W HAMILTON AVE
STE B
EAU CLAIRE, WI 547016970
Phone: (715) 552-9784
Fax: (715) 835-6370
Type: Mailing
617 W CLAIREMONT AVE
EAU CLAIRE, WI 547016223
Phone: (715) 834-2788
Type: Location
2403 FOLSOM ST
EAU CLAIRE, WI 547032435
Phone: (715) 552-9784
Fax: (715) 835-6370
Type: Mailing
1235, Sunset Drive, Westies, Wausau, Marathon County, Wisconsin, 54401, United States
WAUSAU, WI 54401
Phone: (715) 271-3436
Type: Mailing
Marshfield Clinic Merrill Center, 1205, O'Day Street, Merrill, Lincoln County, Wisconsin, 54452, United States
MERRILL, WI 54452
Phone: (715) 539-0101
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $160.
Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($78).
Total Amount
$160
General + Research + Ownership
Payments
7
Total payment records
General Amount
$160
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $78 |
| Novo Nordisk Inc | $36 |
| Abbott Laboratories | $26 |
| Lilly USA, LLC | $21 |
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: 2018-10-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181010003392 | I | Physician Assistant | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 217 | 145 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 103 | 85 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 38 | 37 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 24 | 23 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 20 | 19 | $0 |
Insurance plans in this area (ZIP 54701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice, Emergency Medicine | WI | |
| Certified Nurse Midwife (Cnm) | WI | |
| - | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| P O D I A T R Y | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Internal Medicine | WI | |
| Physician Assistant | WI |
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