Stephanie Anne Ellis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

789 Pre Emption Rd
Geneva, NY 14456-2069

Phone

(315) 789-5061

NPI assigned

Jul 14, 2016

Last updated

Jul 14, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FLH Medical PCGroup PAC ID 6507922358, 47 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Geneva General Hospital Hospital, Geneva, NY, CCN 330058
• Soldiers and Sailors Memorial Hospital of Yates Hospital, Penn Yan, NY, CCN 331314

Merit-based Incentive Payment System (MIPS)

Final score

91.71 of 100Reported as group

Quality

85.42

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: s.ellis@flhmedical.medentdirect.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.

• FLH Medical, PC

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1215174644
  Medicare reassignment Care Compare group
• Soldiers & Sailors Memorial Hospital

  dba Soldiers & Sailors Memorial Hospital Hospitalist

  • Emergency Medicine Physician
  • Penn Yan, NY
  • NPI 1043353618
  Medicare reassignment NPD
• FLH Medical, PC

  • Gastroenterology Physician
  • Geneva, NY
  • NPI 1164766325
  NPD
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Waterloo, NY
  • NPI 1972101491
  NPD

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

• Geneva General Hospital Inc.

  • General Acute Care Hospital
  • Geneva, NY
  • NPI 1952418352
  Care Compare affiliation
• Geneva General Hospital, Inc

  • Family Medicine Physician
  • Clyde, NY
  • NPI 1255087003

  Hospital

  Care Compare affiliation
• Soldiers & Sailors Memorial Hospital

  • Critical Access Hospital
  • Penn Yan, NY
  • NPI 1215044516
  Care Compare affiliation
• Soldiers & Sailors Memorial Hospital

  • Family Medicine Physician
  • Penn Yan, NY
  • NPI 1538708128

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1780037788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ARGYLE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146072301",
            "telephone_number": "518-653-7821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "789 PRE EMPTION RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562069",
            "telephone_number": "315-789-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eckerd Corporation (Rite Aid Pharmacy 10846)
• Kim Laura Eddington, LPN
• Efdg Geneva PLLC (Eaves Family Dental Group)
• Steven R Egidi, OTR/L
• Charles C Ehresman
• Empire Vision Center Inc (Empire Vision Centers)
• Mignon Avendano Enecilla, MD
• Philipp Ewert, PA
• Taylor Jo Fairman, RDN
• Janet R Fallo, LMT

• Physician Assistant in Geneva, NY
• Providers in Geneva, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.