Individual provider Active NPI

Abigail P Ellis, PA-C

  • Physician Assistant
  • York, PA
National Provider Identifier
1902457385
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110006891 Issued in VA
Practice address
1703 Innovation Dr Ste 4120
York, PA 17408-8815
Phone
(717) 849-5576
Fax
(717) 849-5596
NPI assigned
Sep 26, 2019
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA065545 PA
Physician Assistant 363A00000X 0110006891 VA Primary

Addresses

Primary practice location

1703 Innovation Dr Ste 4120
York, PA 17408-8815

Mailing address

1703 Innovation Dr Ste 4120
York, PA 17408-8815

Other practice location 1

310 Stock St Ste 3
Hanover, PA 17331-2276
Phone (717) 637-1738

Other identifiers 2

IdentifierTypeStateIssuer
30016153700001MedicaidVA
1902457385MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200203001116 DC Practitioner - Physician Assistant 3577997972 Reassigns benefits to 1 organization
I20240917002241 PA Practitioner - Physician Assistant 3577997972 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

1703 Innovation Dr
York, PA 17408-8815

210 Forge Rd
Boiling Springs, PA 17007-9787
Phone (717) 249-8300

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

310 Stock St
Hanover, PA 17331-2276

366 Alexander Spring Rd
Carlisle, PA 17015-9214

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.61 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.06

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
0110006891VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians Physician Assistant CurrentSince Sep 3, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 3, 2024 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 3, 2024 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 3, 2024 Accepting new patients
Loudoun Medical Group, PC CurrentSince Sep 30, 2019 Accepting new patients
Loudoun Medical Group, PC CurrentSince Sep 30, 2019 Accepting new patients
Vascular Associates of Northern Virginia PC PastSince Sep 1, 2019 Accepting new patients
Loudoun Medical Group, PC PastSince Sep 1, 2019 Accepting new patients
Pinnacle Health Medical Services Physician Assistant Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

366 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-1900

310 Stock St
Ste 3
Hanover, PA 17331

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

1703 Innovation Dr
Ste 4120
York, PA 17408
Phone (717) 632-9263

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

224D Cornwall St NW
Ste 403
Leesburg, VA 20176
Phone (703) 737-6001

12005 Sunrise Valley Dr
Ste 120
Reston, VA 20191
Phone (571) 375-7174

Interoperability endpoints

  • Direct secure messaging: aellis435771@upmc.direct-ci.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1902457385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 INNOVATION DR STE 4120",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 INNOVATION DR STE 4120",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-849-5576",
            "fax_number": "717-849-5596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Stock St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312276",
            "country_code": "US",
            "telephone_number": "717-637-1738",
            "fax_number": "717-646-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "ABIGAIL",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065545",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110006891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016153700001",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902457385",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.