Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NATHAN P ELLIS
NPI 1184549602
Physician Assistant in Shattuc, IL

Active since August 12, 2026
14 LAKELAND DR, SHATTUC, IL 62231(618) 302-3223 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathan P Ellis NPPES

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

NATHAN P ELLIS (NPI 1184549602) is an individual physician assistant in Shattuc, Illinois and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1184549602
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNATHAN P ELLIS
Location Address14 LAKELAND DRShattuc, IL 62231-8575
Mailing Address14 Lakeland DrShattuc, IL 62231-8575
Sole ProprietorYes
Enumeration DateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
NPI 1184549602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
14 LAKELAND DR, Shattuc, IL 62231

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Nathan Ellis's NPI number?

The NPI number for Nathan Ellis is 1184549602. It was assigned to this individual provider in the NPPES registry on August 12, 2026.

Where is Nathan Ellis located?

Nathan Ellis practices at 14 Lakeland Dr, Shattuc, IL 62231. The listed phone number is (618) 302-3223.

What is Nathan Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nathan Ellis was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.