Individual provider Active NPI

Tiffany Elizabeth Ellerman, PA-C

  • Physician Assistant
  • Newville, PA
National Provider Identifier
1619686656
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064223 Issued in PA
Practice address
100 S High St
Newville, PA 17241-1409
Phone
(717) 776-3114
Fax
(717) 776-5020
NPI assigned
Nov 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA006329 PA
Physician Assistant 363A00000X MA064223 PA Primary
Medical Physician Assistant 363AM0700X MA064223 PA

Addresses

Primary practice location

100 S High St
Newville, PA 17241-1409

Mailing address

100 S High St
Newville, PA 17241-1409
Phone (717) 776-3114

Other practice location 1

19 Brookwood Ave Ste 104
Carlisle, PA 17015-9142
Phone (717) 776-3114

Other names 1

  • Tiffany Elizabeth Griffie Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tellerman289172@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20221228002658 PA Practitioner - Physician Assistant 0840660205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graham Medical Clinic,P.C.Group PAC ID 6103002886, 8 clinicians
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians

Practice addresses (Care Compare)

100 S High St
Newville, PA 17241-1409
Phone (717) 776-3114

1175 Walnut Bottom Rd
Upmc Gohealth Urgent Care
Carlisle, PA 17015-9160
Phone (717) 601-2190

19 Brookwood Ave
Carlisle, PA 17015-9142
Phone (717) 776-3114

2323 Linglestown Rd
Harrisburg, PA 17110-9424
Phone (717) 409-5815

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

775 S Arlington Ave
Upmc Gohealth Urgent Care
Harrisburg, PA 17109-5002
Phone (717) 461-2662

Hospital & facility affiliations

  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA006329PAMDPhysician Assistant
MA064223PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ucmg LLC CurrentSince Jul 12, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 14, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 14, 2022 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

19 Brookwood Ave
Ste 104
Carlisle, PA 17015
Phone (717) 243-9010

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

5615 York Rd
New Oxford, PA 17350
Phone (717) 624-1337

Interoperability endpoints

  • Direct secure messaging: tellerman289172@upmc.direct-ci.com

Organizations & group practices 5

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.

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": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1619686656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S HIGH ST",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411409",
            "telephone_number": "717-776-3114",
            "fax_number": "717-776-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S HIGH ST",
            "city": "NEWVILLE",
            "state": "PA",
            "postal_code": "172411409",
            "telephone_number": "717-776-3114",
            "fax_number": "717-776-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Brookwood Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159142",
            "country_code": "US",
            "telephone_number": "717-776-3114",
            "fax_number": "717-776-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLERMAN",
        "first_name": "TIFFANY",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2026-09-03",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006329",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064223",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tellerman289172@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "GRIFFIE",
            "middle_name": "ELIZABETH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newville, PA

Sources for this page

Verify at the official NPI Registry.