Stew Ellington

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA223676 Issued in OR

Practice address

2115 NE Wyatt CT Ste 101
Bend, OR 97701-7679

Phone

(541) 205-7457

NPI assigned

May 23, 2020

Last updated

May 6, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OR

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Oregon Spine and Sports LLCGroup PAC ID 0244515641, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Central Oregon Spine and Sports, LLC

  • Physical Medicine & Rehabilitation Physician
  • Bend, OR
  • NPI 1497293054
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1871116913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 NE WYATT CT STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017679",
            "telephone_number": "541-205-7457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 NE WYATT CT STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017679",
            "telephone_number": "541-205-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "STEW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-23",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA223676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca June Elger Hernandez, LCSW
• Amro Elgeziry, MD
• Damaris Elix
• Elizabeth Ann Leeberg, PH.D., P.C.
• Gianni Elizabeth, LCSW
• Danette Rai Elliott-Mullens, DO
• Amy Elliott
• Cheryl Kris Elliott
• Kathleen Elliott, M.A., M.F.T.
• Melinda Leigh Elliott

• Medical Physician Assistant in Bend, OR
• Providers in Bend, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.