MRS. MICHELE JEAN ELLINGSBERG (OT) – Occupational Therapist, NPI 1750354734
Occupational Therapist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. MICHELE JEAN ELLINGSBERG (OT)
645 N CHURCH ST
ELKHORN, WI 531212204
Phone: (262) 741-5549
Fax: (262) 780-0717
Type: Mailing
17280, West North Avenue, Brookfield, Waukesha County, Wisconsin, 53005, United States
#104
BROOKFIELD, WI 530454366
Phone: (262) 780-0707
Fax: (262) 780-0717
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.
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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: 2023-09-12
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 |
|---|---|---|---|---|
| I20230912000973 | I | Occupational Therapist In Private Practice | 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 |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 245 | 22 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 205 | 24 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 184 | 21 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 77 | 11 | $0 |
| 97167 | Evaluation for occupational therapy, typically 1 hour | 14 | 13 | $0 |
Insurance plans in this area (ZIP 53121)
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