IndividualActive
Darren Ellenbolt, M.D.
NPI 1700855012 · Family Medicine Physician · Mukwonago, WI
Darren Ellenbolt, M.D. is a Family Medicine Physician provider in Mukwonago, WI (NPI 1700855012).
Provider details
- NPI number
- 1700855012
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 47860 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
240 Maple Ave.
Prohealth Care Medical Associates, Inc.
Mukwonago, WI 53149-8475
Phone: (262) 928-1900
Fax: (262) 363-1949
Street-level locationGet directions
Mailing address
N17 W24100 Riverwood Dr.
Waukesha, WI 53188-1177
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2011-11-02
Frequently asked questions
- What is Darren Ellenbolt's NPI number?
- Darren Ellenbolt's National Provider Identifier (NPI) is 1700855012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Darren Ellenbolt's specialty?
- Darren Ellenbolt is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Darren Ellenbolt located?
- Darren Ellenbolt's practice location on file with NPPES is 240 Maple Ave., Mukwonago, WI 53149-8475.
- What is Darren Ellenbolt's phone number?
- The practice phone number listed in the NPPES registry for Darren Ellenbolt is (262) 928-1900.
- Is Darren Ellenbolt's NPI active?
- Yes — Darren Ellenbolt's NPI (1700855012) is active in the NPPES registry as of the last update on 2011-11-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.