Individual provider Active NPI

Justin J Ellingstad, PA-C

  • Physician Assistant
  • Eau Claire, WI
National Provider Identifier
1386130136
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4434 Issued in WI
Practice address
617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone
(715) 834-2788
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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 4434 WI Primary

Addresses

Primary practice location

617 W Clairemont Ave
Eau Claire, WI 54701-6223

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20181010003392 WI Practitioner - Physician Assistant 7315299880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

3213 Stein Blvd
Eau Claire, WI 54701-6946
Phone (715) 836-9242

3221 Stein Blvd
Suite 4
Eau Claire, WI 54701-4399
Phone (715) 834-2788

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280

617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone (715) 834-2788

855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 726-9248

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc CurrentSince Jul 16, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 12, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Nov 12, 2021 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 10, 2018 Accepting new patients
Oakleaf Clinics Inc CurrentSince Jul 16, 2023 Accepting new patients
Oakleaf Clinics Inc Past Accepting new patients

Locations

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 552-9784

2741 N Clairemont Ave
Eau Claire, WI 54703
Phone (715) 834-0711

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

2403 Folsom St
Eau Claire, WI 54703

3221 Stein Blvd
Ste 4
Eau Claire, WI 54701
Phone (715) 834-2788

617 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 834-2788

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

Interoperability endpoints

  • Direct secure messaging: justin.ellingstad@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: jellingstad29720@oakleafmed.gardenplot.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1386130136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435",
            "telephone_number": "715-552-9784",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016223",
            "telephone_number": "715-834-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGSTAD",
        "first_name": "JUSTIN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.