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

Kim M Ellingham, NP

Individual provider Nurse Practitioner · NPI 1265781231

Kim M Ellingham, NP is a Nurse Practitioner in Elkhorn, Wisconsin. Qualified in 2012, 14 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
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

W3985 County Road Nn
Elkhorn, WI 53121-4337
Phone: (262) 741-2000
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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 5002 (WI)

Record details

NPI number1265781231
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 5, 2012
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing addressW3985 County Road Nn, Elkhorn, WI 53121-4337

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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