Individual provider Active NPI

Ellie Nan McCalla, PA-C

  • Physician Assistant
  • Chelsea, MI
National Provider Identifier
1831756501
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
350 Washington St
Chelsea, MI 48118-1126
Phone
(734) 646-5180
NPI assigned
May 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 Primary

Addresses

Primary practice location

350 Washington St
Chelsea, MI 48118-1126

Mailing address

350 Washington St
Chelsea, MI 48118-1126
Phone (734) 646-5180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20191105001851 MI Practitioner - Physician Assistant 2961734264 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Service Corporation CurrentSince Aug 20, 2025 Accepting new patients
Iha Health Services Corporation CurrentSince Aug 20, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Sep 24, 2019 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Sep 24, 2019 Accepting new patients

Locations

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

744 W Michigan Ave
Jackson, MI 49201
Phone (517) 768-0600

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500

Interoperability endpoints

  • Direct secure messaging: emccalla520749@direct.hfhs.org
  • Direct secure messaging: emccalla2524862@direct.trinity-health.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1831756501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 WASHINGTON ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181126",
            "telephone_number": "734-646-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 WASHINGTON ST",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181126",
            "telephone_number": "734-646-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLA",
        "first_name": "ELLIE",
        "middle_name": "NAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

Verify at the official NPI Registry.