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

Individual provider Family Nurse Practitioner · NPI 1245672286

John Michael Ellison, FNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2013, 13 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2013
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1321 NE 99th Ave Ste 100
Portland, OR 97220-9437
Phone: (503) 215-9900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18750 Se Stark St, Portland, OR 97233-5330 — (503) 666-6717

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 201390532NP-PP (OR)

Record details

NPI number1245672286
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 18, 2013
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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