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

MS. Ellen M Hanisch, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1346248754

MS. Ellen M Hanisch, NURSEPRACTITIONER is a Nurse Practitioner in Gig Harbor, Washington. Qualified in 2002, 24 years ago. Practices with Northwest Medical Specialties PLLC, a 35-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa, Nebraska and Washington.

Years since qualifying
24
Licensed in
IA, NE, WA
In the registry since
2005
Specialties on file
3
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Practice location Address checks out

11511 Canterwood Blvd Ste 45
Gig Harbor, WA 98332-5813
Phone: (253) 858-4725
Fax: (253) 858-4452
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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 AP60134362 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence A-108210 (IA)
Nurse Practitioner Taxonomy 363L00000X · Licence 110748 (NE)

Record details

NPI number1346248754
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJuly 9, 2005
Last updated in NPPESAugust 1, 2012
Mailing address1624 South I Street, Suite 305, Tacoma, WA 98405-5093

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Northwest Medical Specialties Pllc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gig Harbor