Vanessa Lynn Elledge, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04602 Issued in TX

Practice address

22698 Professional Dr Ste 110
Kingwood, TX 77339-5705

Phone

(281) 312-8521

NPI assigned

Apr 10, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774
• St Luke'S the Woodlands Hospital Hospital, The Woodlands, TX, CCN 450862

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Baylor St. Luke'S Medical Group

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1740485879
  Medicare reassignment Care Compare group
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)

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

• KPH-Consolidation, Inc.

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation
• St. Luke'S Community Health Services

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1942208616
  Care Compare affiliation
• Tops Specialty Hospital, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662
  Care Compare affiliation

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1467675454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22698 PROFESSIONAL DR STE 110",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395705",
            "telephone_number": "281-312-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22698 PROFESSIONAL DR STE 110",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773395705",
            "telephone_number": "281-312-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "VANESSA",
        "middle_name": "LYNN",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA04602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elevators of Texas, Inc.
• Georg Elias, M.D
• Elite Care Transport Services
• Elite Neurology PA
• Charlotte Stiles Elizondo, FNP-C
• David Peter Ellent, M.D.
• Ellett Medical Supplies Inc
• Kim Elliott, MD
• Wanda Elliott, LSA
• Danya Ellis, M.D.

• Physician Assistant in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.