Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ellen M Dethloff, NP

Individual provider Nurse Practitioner · NPI 1811106222

Ellen M Dethloff, NP is a Nurse Practitioner in Daytona Beach, Florida. Licensed in Florida and New York. Registered with an NPI since 2007.

Licensed in
FL, NY
In the registry since
2007
Specialties on file
2
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

303 N Clyde Morris Blvd # 8E Coordinator Education-Clinical Affiliates
Daytona Beach, FL 32114-2709 Not confirmed with CMS for 12 years — call before visiting
Phone: (386) 425-5800
Fax: (386) 425-5801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence ARNP 9373273 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 300456 (NY)

Record details

NPI number1811106222
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 22, 2007
Last updated in NPPESApril 14, 2014

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients42
Services billed 69 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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