Danielle Ellis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA001221 Issued in ME

Practice address

31 Front St
Waterville, ME 04901-6626

Phone

(207) 873-1181

Fax

(207) 873-1186

NPI assigned

Jul 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: danielledoyon@wfamprac.allscriptsdirect.net

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

• Waterville Family Practice

  • Family Medicine Physician
  • Waterville, ME
  • NPI 1386634707

  ME

  Medicare reassignment
• Sunbury Primary Care, P.a.

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1437242294

  Physician Assistant

  NPD (past)
• Sunbury Primary Care, P.a.

  • Family Medicine Physician
  • Bangor, ME
  • NPI 1508939398

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1295046597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FRONT ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016626",
            "telephone_number": "207-942-7650",
            "fax_number": "207-990-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 FRONT ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016626",
            "telephone_number": "207-873-1181",
            "fax_number": "207-873-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Ebhohimen, MD
• Linda Emma Edwards, RN-C, LCPC, CADC
• Dorothy I Eisengart, MD
• Marvin A Eisengart, MD
• George Albaran Elias, D.O.
• Garrett Brandon Ellis, LCPC/C
• Katherine Ellis, RN-BC
• Martha Ellis, LCSW
• Elm City Addiction and Psyhciatry PC
• Elm City Medical Associates

• All providers in Waterville, ME
• Physician Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.