Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice J Ellison, FNP-C

Individual provider Public Health & General Preventive Medicine Physician · NPI 1114780228

Alice J Ellison, FNP-C is a Nurse Practitioner in Minnetonka, Minnesota. Qualified in 2023, 3 years ago. Practices with Tp Nixa Ops, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone: (800) 328-5979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Public Health & General Preventive Medicine Physician (primary) Taxonomy 2083P0901X · Licence 2023045679 (MO)

Record details

NPI number1114780228
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESFebruary 5, 2024
Certification dateFebruary 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tp Nixa Ops — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount