Richard Gordon Nellis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005341 Issued in CT

Practice address

104 Heights Rd # R103
Darien, CT 06820-4119

Phone

(888) 663-6331

Fax

(415) 252-7176

NPI assigned

May 28, 2008

Last updated

Jan 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, MI, ME, NY, KS, WI, OH, FL, KY, IL, NJ, PA, MO, MA, TX, CO16 enrollments

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 16

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Vitalcare Health Services PCGroup PAC ID 2264961861, 46 clinicians

Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

River's Edge Hospital and ClinicGroup PAC ID 7214849397, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• River's Edge Hospital & Clinic Hospital, St Peter, MN, CCN 241334
• Ridgeview Sibley Medical Center Hospital, Arlington, MN, CCN 241311
• Minnesota Valley Health Center Inc Hospital, Le Sueur, MN, CCN 241375
• Easton Skilled Nursing and Rehabilitation Center Nursing home, Easton, PA, CCN 395540
• Oak Grove Center Nursing home, Waterville, ME, CCN 205091
• Crestview Center Nursing home, Langhorne, PA, CCN 395459
• Lutheran Rehabilitation and Skilled Care Center Nursing home, Worcester, MA, CCN 225379
• Bethlehem South Skilled Nursing and Rehabilitation Nursing home, Bethlehem, PA, CCN 395429

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 51)

Interoperability endpoints

• Direct secure messaging: richard.nellis@731444467007492.direct.elationemr.com
• Direct secure messaging: rnellis119990@albanymed.direct-ci.com
• Direct secure messaging: rnellis270180@excellian.direct.allina.com
• Direct secure messaging: rnellis497855@direct.centracare.com

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.

• River's Edge Hospital & Clinic

  • Critical Access Hospital
  • Saint Peter, MN
  • NPI 1407849367
  Medicare reassignment Care Compare group NPD
• Vitalcare Health Services PC

  • Urgent Care Clinic/Center
  • Lehi, UT
  • NPI 1235954389

  CO, IL, MA, MI, MN, MO, OH, PA, Physician Assistant, TX

  Medicare reassignment Care Compare group NPD
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  IL, ME, NY, OH, PA

  Medicare reassignment Care Compare group
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  FL, IL, ME, OH, PA

  Medicare reassignment Care Compare group
• Centracare Health System - Long Prairie

  • Critical Access Hospital
  • Long Prairie, MN
  • NPI 1164471678
  Medicare reassignment NPD
• County of Meeker

  dba Meeker Memorial Hospital & Clinics - East/West

  • Rural Health Clinic/Center
  • Litchfield, MN
  • NPI 1083221816
  Medicare reassignment NPD
• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  FL, PA

  Medicare reassignment NPD
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  FL, IL, ME, OH, PA

  Medicare reassignment NPD
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment NPD
• Housecalls Medicine Ny East PC

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1982565685
  Medicare reassignment NPD
• Housecalls Medicine Ny PC

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1275290025
  Medicare reassignment NPD
• Housecalls Medicine Ny West PC

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1245191956
  Medicare reassignment NPD

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

• 2021 Westgate Drive Operations LLC

  dba Bethlehem South Skilled Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bethlehem, PA
  • NPI 1164132817

  Nursing home

  Care Compare affiliation
• 2600 Northampton Street Operations LLC

  dba Easton Skilled Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Easton, PA
  • NPI 1598475204

  Nursing home

  Care Compare affiliation
• 262 Toll Gate Road Operations LLC

  dba Crestview Center

  • Skilled Nursing Facility
  • Langhorne, PA
  • NPI 1255513651

  Nursing home

  Care Compare affiliation
• Lutheran Housing Corporation - Brockton

  dba Lutheran Rehabilitation and Skilled Care Center

  • Skilled Nursing Facility
  • Worcester, MA
  • NPI 1770158438

  Nursing home

  Care Compare affiliation
• Minnesota Valley Health Center Inc

  • Critical Access Hospital
  • Le Sueur, MN
  • NPI 1730248907
  Care Compare affiliation
• River's Edge Hospital & Clinic

  • Critical Access Hospital
  • Saint Peter, MN
  • NPI 1407849367
  Care Compare affiliation
• Sibley Medical Center

  dba Ridgeview Sibley Medical Center

  • Critical Access Hospital
  • Arlington, MN
  • NPI 1740240225
  Care Compare affiliation
• Waterville SNF Operations, LLC

  dba Oak Grove Center

  • Skilled Nursing Facility
  • Waterville, ME
  • NPI 1760544100

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1649438516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20449 KOGLIN RD",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553504332",
            "telephone_number": "612-327-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 HEIGHTS RD # R103",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204119",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3065 Route 50 Ste 30",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662920",
            "country_code": "US",
            "telephone_number": "518-886-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20449 Koglin Rd",
            "address_purpose": "LOCATION",
            "city": "Hutchinson",
            "state": "MN",
            "postal_code": "553504332",
            "country_code": "US",
            "telephone_number": "612-327-2732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELLIS",
        "first_name": "RICHARD",
        "middle_name": "GORDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "005341",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "027096",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1082853",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Nadler, D.C.
• Rebecca Nardi, PHYSICAL THERAPIST
• Naiem Nassiri, MD
• ND Counseling for Hope and Growth
• Philip E Negus, M.D.
• Deborah Nelson, MS, CDN
• Patricia M Nelson, LCSE
• New Reflections Counseling, P.a.
• Fredric Newman, M.D.
• Jennifer Anne Nielsen, PSYD

• Physician Assistant in Darien, CT
• Providers in Darien, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.