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

Individual provider Family Nurse Practitioner · NPI 1063053346

Elisheva Ellenberg, FNP-C is a Nurse Practitioner in Detroit, Michigan. Qualified in 2019, 7 years ago. Practices with University Pediatricians, a 128-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Partly verified

Some contact details are missing from the federal record.

Children's Specialty Center 3950 Beaubien Street - 3rd Fl
Detroit, MI 48201-2119
Phone: (313) 832-9330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704312142 (MI)

Record details

NPI number1063053346
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 8, 2019
Last updated in NPPESOctober 8, 2019

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 University Pediatricians — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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