Individual provider Active NPI

Allison D Ellia, PA-C

  • Physician Assistant
  • Keene, NH
National Provider Identifier
1508881723
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0499 Issued in NH
Practice address
590 Court Street
Keene, NH 03431
Phone
(603) 354-5482
NPI assigned
Jul 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0499 NH Primary

Addresses

Primary practice location

590 Court Street
Keene, NH 03431

Mailing address

153 Dean Farm Road
Jaffrey, NH 03452
Phone (603) 532-9379

Other identifiers 1

IdentifierTypeStateIssuer
30332747MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040719000147 NH Practitioner - Physician Assistant 0840279345 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians
Cheshire Medical CenterGroup PAC ID 1456260165, 165 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

580 Court St
Keene, NH 03431-1718
Phone (603) 354-5454

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0499NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Feb 4, 2004 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 19, 2015 Accepting new patients
Cheshire Medical Center CurrentSince Feb 4, 2004 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Aug 19, 2015 Accepting new patients
Southern New Hampshire Medical Center CurrentSince Mar 1, 2011 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Aug 1, 2025 Accepting new patients
Cheshire Medical Center Past Accepting new patients

Locations

253 Pleasant St
Concord, NH 03301
Phone (603) 226-2200

149 Emerald St
Unit K
Keene, NH 03431
Phone (603) 354-5484

580 Court St
Keene, NH 03431
Phone (603) 354-5454

580 Court St
#590
Keene, NH 03431
Phone (603) 354-5454

590 Court St
Keene, NH 03431
Phone (603) 354-5454

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

8 Prospect St
Nashua, NH 03060
Phone (603) 281-9275

Interoperability endpoints

  • Direct secure messaging: aellia32075@direct.dartmouth-hitchcock.org
  • FHIR API: https://epicproxyprd.solutionhealth.org/FHIR_PRD/MYCHART/api/FHIR/R4

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508881723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 DEAN FARM ROAD",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "03452",
            "telephone_number": "603-532-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COURT STREET",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "03431",
            "telephone_number": "603-354-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIA",
        "first_name": "ALLISON",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30332747",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

Sources for this page

Verify at the official NPI Registry.