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

Ellen Hallberg

Individual provider Family Medicine Physician · NPI 1942838941

Ellen Hallberg is a Family Practice in Milwaukee, Wisconsin. Qualified in 2020, 6 years ago. Practices with Prohealth Medical Group Inc, a 472-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
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Practice location Address checks out

1121 E North Ave
Milwaukee, WI 53212-3515
Phone: (414) 267-6502
Fax: (414) 267-3892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2555 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-2709 — (414) 372-8080

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 76267 (WI)

Record details

NPI number1942838941
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prohealth Medical Group Inc — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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