1. Home
  2. Directory
  3. Alaska
  4. Anchorage
  5. Physician Assistant
  6. NPI Profile

KRISTINA LOUISE ELLIS PA-C
NPI 1104440585
Physician Assistant - Surgical in Anchorage, AK

Active since June 02, 2020PECOS EnrolledAccepts Medicare Assignment
65.45/100
CMS Quality Rating
4100 LAKE OTIS PKWY STE 320, ANCHORAGE, AK 99508(907) 563-4810(907) 563-4811 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2023, Oct 12, 2020, Aug 18, 2020 and 1 more (4 updates tracked since 2020).

About Kristina Louise Ellis Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTINA LOUISE ELLIS PA-C (NPI 1104440585) is an individual surgical provider in Anchorage, Alaska, licensed in Alaska (204589) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104440585
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKRISTINA LOUISE ELLISCredential: PA-C
Location Address4100 LAKE OTIS PKWY STE 320Anchorage, AK 99508-5231
Mailing Address4100 Lake Otis Pkwy Ste 320Anchorage, AK 99508-5231 · (907) 563-4810 · Fax (907) 563-4811
Phone(907) 563-4810
Fax(907) 563-4811
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2020
Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1104440585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in AK · 204589
4100 LAKE OTIS PKWY STE 320, Anchorage, AK 99508
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristina Louise Ellis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911310032
PECOS Enrollment IDI20230314002263
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
34 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
14 services13 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

65.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.83
Promoting Interoperability100
Improvement Activities40
Cost10

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristina Ellis's NPI number?

The NPI number for Kristina Ellis is 1104440585. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Kristina Ellis located?

Kristina Ellis practices at 4100 Lake Otis Pkwy Ste 320, Anchorage, AK 99508. The listed phone number is (907) 563-4810.

What is Kristina Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kristina Ellis enrolled in Medicare?

Yes. Kristina Ellis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristina Ellis accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Kristina Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristina Ellis was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.