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ELLISON PRATLEY PA-C
NPI 1154153963
Physician Assistant - Surgical in Michigan City, IN

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment
3777 N FRONTAGE RD STE 900, MICHIGAN CITY, IN 46360(219) 921-1444 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 17, 2024, Aug 19, 2024 (2 updates tracked since 2024).

About Ellison Pratley Pa-c NPPES

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

ELLISON PRATLEY PA-C (NPI 1154153963) is an individual surgical provider in Michigan City, Indiana and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Northwest Health-la Porte, and maintains a secondary practice location in Chesterton.

NPPES Registry Identity

NPI1154153963
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELLISON PRATLEYCredential: PA-C
Location Address3777 N FRONTAGE RD STE 900Michigan City, IN 46360-7698
Mailing Address601 Gateway Blvd NChesterton, IN 46304-9658 · (219) 921-1444 · Fax (219) 921-5303
Phone(219) 921-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 19, 2024
Last NPPES UpdateDecember 17, 20242 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
✔ NPI 1154153963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
3777 N FRONTAGE RD STE 900, Michigan City, IN 46360
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Secondary Practice Location 1

Location 1601 Gateway Blvd NChesterton, IN 46304-9658 · Phone (219) 921-1444 · Fax (219) 921-5303

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

Ellison Pratley 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 ID5395277040
PECOS Enrollment IDI20241018001872
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

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Health-La Porte

Acute Care Hospitals · La Porte, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150006
Location1331 State StreetLa Porte, IN 46350 · La Porte County
Emergency services Birthing friendly

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

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 Ellison Pratley's NPI number?

The NPI number for Ellison Pratley is 1154153963. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Ellison Pratley located?

Ellison Pratley practices at 3777 N Frontage Rd Ste 900, Michigan City, IN 46360. The listed phone number is (219) 921-1444.

What is Ellison Pratley's specialty?

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

Is Ellison Pratley enrolled in Medicare?

Yes. Ellison Pratley 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 Ellison Pratley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Ellison Pratley 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.

Is Ellison Pratley affiliated with any hospitals?

According to CMS data, Ellison Pratley is affiliated with Northwest Health-La Porte and Franciscan Health Michigan City.

When was this NPI record last updated?

The NPPES record for Ellison Pratley was last updated on December 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.