Provider Profile
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License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
611 E DOUGLAS RD STE 207
Mishawaka, IN 46545
Kathleen D. Ellis is a physician assistant in Mishawaka, IN. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Surgical”.
NPI registry
Kathleen D. Ellis is listed at 611 E Douglas Rd Ste 207, Mishawaka, IN 46545. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (574) 335-6850. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Kathleen D. Ellis's National Provider Identifier is 1891570545. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Kathleen D. Ellis attended Other, graduating in 2023. This comes from the CMS National Downloadable File.
CMS public data
Kathleen D. Ellis has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.
CMS public data
Not yet. This profile is built from public federal data and has not been confirmed by Kathleen D. Ellis. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.