NPIMap

Individual provider Active NPI

Joshua Ellis, PA-C

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1134597032
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-01822 Issued in KS
Practice address
550 N Hillside St
Wichita, KS 67214-4910
Phone
(316) 962-2668
NPI assigned
Sep 9, 2015
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15-01822 KS Primary

Addresses

Primary practice location

550 N Hillside St
Wichita, KS 67214-4910

Mailing address

200 E Winding Lane Cir
Derby, KS 67037-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151005001222 KS Practitioner - Physician Assistant 2365750734 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graham County HospitalGroup PAC ID 8820067366, shared by 4 NPIs, 8 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rooks County Health Center CurrentSince Dec 15, 2022 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Dec 3, 2018 Accepting new patients
Hospital District No 6 of Harper County Kansas Current Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Dec 3, 2018 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Dec 21, 2016 Accepting new patients
Graham County Hospital Current Accepting new patients
Graham County Hospital CurrentSince Nov 19, 2022 Accepting new patients
Rooks County Health Center CurrentSince Dec 15, 2022 Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. CurrentSince Dec 21, 2016 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

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
  • Direct secure messaging: joshua.ellis.1@16187.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1134597032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E WINDING LANE CIR",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670378818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144910",
            "telephone_number": "316-962-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "JOSHUA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-01822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.