Provider Profile

Kathleen D. Ellis, PA-C

Unclaimed Profile

About Kathleen Ellis

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Education & Training

School Other Graduated: 2023

Specialty

Physician Assistant — Surgical (Primary)

Credentials & Licensing

IN license10004107A
NPI1891570545
NPI issued08/30/2023

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.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Kathleen D. Ellis's specialty?

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

Where can I find Kathleen D. Ellis?

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

How do I contact Kathleen D. Ellis?

The number on file is (574) 335-6850. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Kathleen D. Ellis?

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

What is Kathleen D. Ellis's education?

Kathleen D. Ellis attended Other, graduating in 2023. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kathleen D. Ellis have?

Kathleen D. Ellis has 3 years experience. Calculated from a graduation year of 2023, reported in the CMS National Downloadable File.

CMS public data

Is Kathleen D. Ellis's profile verified?

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.