Ellen Diane Stephan

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NPI Number Detailed Information

Provider Information:

Name:	Ellen Diane Stephan
Gender:	F
Provider License Number If Given:	R185045-3

NPI Information:

NPI:	1871873521
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	8/26/2011
Last Update Date:	2/22/2017

Provider Business Mailing Address:

Address:	4212 GRAND AVENUE EH WEST DULUTH CLINIC Duluth, MN 55807
Phone Number:	2187863500
Fax Number:

Provider Business Practice Location Address:

Address:	1025 10TH AVE NE Deer River, MN 56636
Phone Number:	2182468275
Fax Number:

Provider Taxonomy:

Primary:	363LF0000X
Secondary (if any):
State:	MN

Top Doctors in MN

About Ellen Diane Stephan

Ellen Diane Stephan ( ELLEN DIANE STEPHAN ) is Definition Nurse Practitioner Physician in Deer River, MN. The NPI Number for Ellen Diane Stephan is 1871873521.

The current location address for Ellen Diane Stephan is 1025 10TH AVE NE Deer River, MN 56636 and the contact number is 2187863500 and fax number is . The mailing address for Ellen Diane Stephan is 4212 GRAND AVENUE EH WEST DULUTH CLINIC Duluth, MN 55807- 2182468275 (mailing address contact number - 2187863500).

Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ellen Diane Stephan ?

Answer: The NPI Number for Ellen Diane Stephan is 1871873521

Where is Ellen Diane Stephan located?

Answer: Ellen Diane Stephan is located at 1025 10TH AVE NE Deer River, MN 56636.

What is the specialty for Ellen Diane Stephan ?

Answer: The Specialty of Ellen Diane Stephan is Definition Nurse Practitioner Physician.

Are there any online reviews for Ellen Diane Stephan ?

Answer: Not yet!

Are there any other health care providers in Deer River, MN?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Ellen Diane Stephan

Number of HCPCS	5
Number of Medicare Beneficiaries	75
Number of Services	92
Total Submitted Charge Amount	15370
Total Medicare Allowed Amount	6146.13
Total Medicare Payment Amount	4168.28
Total Medicare Standardized Payment Amount	4238.2
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	5
Number of Medicare Beneficiaries With Medical	75
Number of Medical Services	92
Total Medical Submitted Charge Amount	15370
Total Medical Medicare Allowed Amount	6146.13
Total Medical Medicare Payment Amount	4168.28
Total Medical Medicare Standardized Payment Amount	4238.2
Average Age of Beneficiaries	66
Number of Beneficiaries Age Less 65	20
Number of Beneficiaries Age 65 to 74	41
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries	55
Number of Male Beneficiaries	20
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	25
Number of Beneficiaries With Medicare Only Entitlement	50
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure	0.17
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.25
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.2
Percent (%) of Beneficiaries Identified With Depression	0.33
Percent (%) of Beneficiaries Identified With Diabetes	0.19
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.36
Percent (%) of Beneficiaries Identified With Hypertension	0.57
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.25
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries	0.9503

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	394
Number of Standardized 30-Day Fills	812.06666667
Aggregate Cost Paid for All Claims	11648.47
Number of Day's Supply for All Claims	22320
Number of Medicare Beneficiaries	147
Number of Claims, Including Refills, for Beneficiaries Age 65+	318
Including Refills, for Beneficiaries Age 65+	697.53333333
Beneficiaries Age 65+	5821.45
Number of Day's Supply for All Claims for Beneficaries Age 65+	19412
Number of Medicare Beneficiaries Age 65+	110
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	365
Aggregate Cost Paid for Generic Drugs	5636.7
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	185
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	3892.67
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	209
Aggregate Cost Paid for Claims Filled by	7755.8
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	92
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	6754.67
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	302
by Low-Income Subsidy	4893.8
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including	37
Aggregate Cost Paid for Antibiotic Drugs	539.93
Antibiotic Claims	31
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+	0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+	0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims	0
Average Age of Beneficiaries	66.891156463
Number of Beneficiaries Age Less Than 65	37
Number of Beneficiaries Age 65 to 74	79
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	102
Number of Male Beneficiaries	45
Number of Non-Hispanic White	140
Number of Black or African American	0
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement	102
Average Hierarchical Condition Category	0.9351495434

More Providers in Deer River , MN

Julienne Renae Brauer
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NPI Number: 1881647485
Address: 1025 10TH AVE NE Deer River, MN 56636 , Phone: 2182468275

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Byron David Kion Hoffman
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David Charles Goodall
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Deer River Healthcare Center, Inc.
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Address: 115 10TH AVE NE Deer River, MN 56636 , Phone: 2182462900

Dr. Thomas E Osborne
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Thomas Edward Howard
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Mary Margaret Braaten
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Nancy Carol Zupan
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Address: 115 10TH AVE NE STE A Deer River, MN 56636 , Phone: 2182468275

Arndt Beroen Braaten
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Address: 1025 10TH AVE NE Deer River, MN 56636 , Phone: 2182468275

Independent School District No 317
Local Education Agency (LEA)
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Address: 101 1ST AVE NE Deer River, MN 56636 , Phone: 2183275825

Deer River Healthcare Center Inc.
Durable Medical Equipment & Medical Supplies
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Dr. Jan M Monley
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Stephen Monroe Turner
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Deer River Hired Hands, Inc.
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NPI Number: 1679730220
Address: 309 3RD AVE SE Deer River, MN 56636 , Phone: 2182468182

Mrs. Janna Lynn Block
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NPI Number: 1265681571
Address: 115 10TH AVE NE STE A ESSENTIA HEALTH DEER RIVER CLINIC Deer River, MN 56636 , Phone: 2182468275

Carol Marie Church
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Address: 1002 COMSTOCK DR Deer River, MN 56636 , Phone: 2182462900

Jared Evan Lund
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Address: 115 10TH AVE NE STE A EH DEER RIVER CLINIC Deer River, MN 56636 , Phone: 2182468275

Casey Morris
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Address: 1025 10TH AVE NE DULUTH DEER RIVER Deer River, MN 56636 , Phone: 2182468275

Shana Kathlyn Kongsjord
Family Nurse Practitioner
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Dr. Judy Louise Lemieux
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Address: 37958 AMEN LAKE RD Deer River, MN 56636 , Phone: 2183107483

Mrs. Beate Gertrud Pelto
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Address: 2 DIVISION ST Deer River, MN 56636 , Phone: 2182468642

Kristina Lee Conner
Family Nurse Practitioner
NPI Number: 1023396736
Address: 1025 10TH AVE NE Deer River, MN 56636 , Phone: 2182468275

Ellen Diane Stephan
Family Nurse Practitioner
NPI Number: 1871873521
Address: 1025 10TH AVE NE Deer River, MN 56636 , Phone: 2182468275

Paul Conrad Andersen
Pharmacist
NPI Number: 1114293867
Address: 117 MAIN AVE E Deer River, MN 56636 , Phone: 2182468642

Jeffrey Thomas Sheetz
Physical Therapist
NPI Number: 1710242821
Address: 115 10TH AVE NE ESSENTIA HEALTH DEER RIVER Deer River, MN 56636 , Phone: 2182463001

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Address: 115 10TH AVE NE DEER RIVER HEALTHCARE CENTER Deer River, MN 56636 , Phone: 2182462900

Daniel George Holmbeck
Physical Therapist
NPI Number: 1770848772
Address: 115 10TH AVE NE DEER RIVER HEALTHCARE CENTER Deer River, MN 56636 , Phone: 2182463001

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Address: 37958 AMEN LAKE RD Deer River, MN 56636 , Phone: 2183014402

Sadie Lynn Norstrem
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Address: 115 10TH AVE NE ESSENTIA HEALTH DEER RIVER Deer River, MN 56636 , Phone: 2182462900

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Address: 708 DIVISION ST Deer River, MN 56636 , Phone: 2182466286

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Address: 115 10TH AVENUE NE Deer River, MN 56636 , Phone: 2182462900

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Address: 115 10TH AVENUE NE SUITE A ESSENTIA HEALTH DEER RIVER CLINIC Deer River, MN 56636 , Phone: 2182468275

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Address: 115 10TH AVE NE Deer River, MN 56636 , Phone: 2182468275

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