Joshua Ellis, PA-C
Individual provider Active NPI Physician Assistant · Wichita, KS
NPI 1134597032 · NPPES record last updated Sep 9, 2015
Key facts
- NPI
- 1134597032
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-01822 (KS)
- Practice address
- 550 N Hillside St
Wichita, KS 67214-4910 - Phone
- (316) 962-2668
- NPI assigned
- Sep 9, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Graham County Hospital
Practice addresses (Care Compare)
114 E Walnut St
Hill City, KS 67642-1722
Phone (785) 421-2191
304 W Prout St
Hill City, KS 67642-1435
Phone (785) 421-2121
Hospital & facility affiliations
- Hospital District #6 Patterson Health Center
- Graham County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151005001222 | KS | Practitioner - Physician Assistant | 2365750734 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graham County Hospital | Current |
Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Current |
Accepting new patients | |
| Ascension Via Christi Hospitals Wichita Inc. | Current |
Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Graham County Hospital | Current |
Accepting new patients | |
| Rooks County Health Center | Current |
Accepting new patients | |
| Hospital District No 6 of Harper County Kansas | Current | Accepting new patients | |
| Saint Lukes Hospital of Garnett Inc | Current |
Accepting new patients | |
| Runway Emergency Physicians LLC | Past | Accepting new patients | |
| Wesley Medical Center LLC | Past | Accepting new patients |
Locations
485 N KS Hwy 2
Anthony, KS 67003
Phone (620) 914-1200
421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105
304 W Prout St
Hill City, KS 67642
Phone (785) 421-2121
207 W Prout St
Hill City, KS 67642
Phone (785) 421-2121
929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396
Interoperability endpoints
- joshua.ellis.1@16187.direct.athenahealth.com
- https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01822 | KS | Yes |
Addresses
Primary practice location
550 N Hillside St
Wichita, KS 67214-4910
Mailing address
200 E Winding Lane Cir
Derby, KS 67037-8818
Other providers in Wichita, KS
- Megan A. Elliott
- Myisha Antoinette Elliott
- Sarah Elliott
- Ellis Medical Supply Inc
- Cynthia C Ellis-Stoll
- Lauren Ellis
- Sandra I Ellis
- Taylor R Ellis
- Valerie Ellis
- Stephanie Ellzey
All providers in Wichita, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.