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

Michelle A Gerow-Ellis

Individual provider Nurse Practitioner · NPI 1104902808

Michelle A Gerow-Ellis is a Nurse Practitioner in Willmar, Minnesota. Qualified in 2004, 22 years ago. Practices with Centracare Clinic Southwest LLC, a 172-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
22
Licensed in
MN
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

101 Willmar Ave SW
Willmar, MN 56201-3556
Phone: (320) 231-5000
Fax: (320) 231-6323
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence CNP1124 (MN)
Nurse Practitioner Taxonomy 363L00000X · Licence CNP1124 (MN)

Record details

NPI number1104902808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address101 Willmar Ave Sw, Willmar, MN 56201-3556

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Centracare Clinic Southwest Llc — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Willmar