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

Amy Ellenberg, NP

Individual provider Women's Health Nurse Practitioner · NPI 1174111967

Amy Ellenberg, NP is a Nurse Practitioner in Orange, California. Qualified in 2019, 7 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2501 E Chapman Ave
Orange, CA 92869-3204
Phone: (714) 282-1892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 95014059 (CA)

Record details

NPI number1174111967
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 6, 2021
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address2501 E Chapman Ave Ste 202, Orange, CA 92869-3204

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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