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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACK ELLZEY
NPI 1194645044
Physician Assistant in Topeka, KS

Active since July 20, 2026PECOS Enrolled
823 SW MULVANE ST, TOPEKA, KS 66606(785) 354-9591(785) 354-0519 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 23, 2026, Jul 22, 2026 (2 updates tracked since 2026).

About Jack Ellzey NPPES

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

JACK ELLZEY (NPI 1194645044) is an individual physician assistant in Topeka, Kansas, licensed in Kansas (15-03346) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Topeka.

NPPES Registry Identity

NPI1194645044
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACK ELLZEY
Location Address823 SW MULVANE STTopeka, KS 66606-1764
Mailing Address823 Sw Mulvane StTopeka, KS 66606-1764 · (785) 354-9591 · Fax (785) 354-0519
Phone(785) 354-9591
Fax(785) 354-0519
Sole ProprietorNo
Enumeration DateJuly 20, 2026
Last NPPES UpdateSeptember 23, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1194645044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KS · 15-03346
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.
823 SW MULVANE ST, Topeka, KS 66606
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Secondary Practice Location 1

Location 11500 SW 10th AveTopeka, KS 66604-1301 · Phone (785) 354-6000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Ellzey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNETT R STREETER APRN
Nurse Practitioner
823 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 680-4011
MICHELLE D ANDREWS CRNA
Nurse Anesthetist, Certified Registered
823 SW MULVANE ST, SUITE 210
TOPEKA, KS 66606
Shawnee County (785) 235-3451
ANDREA RENEE LEVY APRN, FNP-C
Nurse Practitioner (Family)
823 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-4355
WADE WILLIAM STINSON JR. MD
Surgery (Surgical Critical Care)
823 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 354-9591
ISRAEL V WALKER PA-C
Physician Assistant
823 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 354-9591
DONALD I PEKRUL CRNA
Nurse Anesthetist, Certified Registered
823 SW MULVANE ST, SUITE 210
TOPEKA, KS 66606
Shawnee County (785) 235-3451
SHAWNA MITCHELL APRN
Nurse Practitioner
823 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 270-0056
ELIZABETH MARTIN APRN
Nurse Practitioner
823 SW MULVANE ST
TOPEKA, KS 66606
Shawnee County (785) 354-9591

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 Jack Ellzey's NPI number?

The NPI number for Jack Ellzey is 1194645044. It was assigned to this individual provider in the NPPES registry on July 20, 2026.

Where is Jack Ellzey located?

Jack Ellzey practices at 823 SW Mulvane St, Topeka, KS 66606. The listed phone number is (785) 354-9591.

What is Jack Ellzey's specialty?

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

Is Jack Ellzey enrolled in Medicare?

Yes. Jack Ellzey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Ellzey was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 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.