JUSTIN J ELLINGSTAD PA-C
NPI 1386130136
Physician Assistant in Eau Claire, WI

Active since July 05, 2018PECOS EnrolledAccepts Medicare Assignment
79.21/100
CMS Quality Rating
617 W CLAIREMONT AVE, EAU CLAIRE, WI 54701(715) 834-2788 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2026, Apr 9, 2025, Aug 25, 2023 and 1 more (4 updates tracked since 2018).

About Justin J Ellingstad Pa-c NPPES

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

JUSTIN J ELLINGSTAD PA-C (NPI 1386130136) is an individual physician assistant in Eau Claire, Wisconsin, licensed in Wisconsin (4434) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2018).

NPPES Registry Identity

NPI1386130136
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN J ELLINGSTADCredential: PA-C
Location Address617 W CLAIREMONT AVEEau Claire, WI 54701-6223
Mailing Address2403 Folsom StEau Claire, WI 54703-2435 · (715) 552-9784 · Fax (715) 835-6370
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2018
Enumeration DateJuly 5, 2018
Last NPPES UpdateApril 10, 20264 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
NPI 1386130136 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 WI · 4434
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.
617 W CLAIREMONT AVE, Eau Claire, WI 54701

Accepted 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

Justin J Ellingstad 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 ID7315299880
PECOS Enrollment IDI20181010003392
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 9

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.
121 services67 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.
101 services80 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
92 services54 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
41 services32 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
38 services28 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
27 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

79.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.43
Promoting Interoperability84
Improvement Activities40
Cost60.98

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers11 claims11 services$88.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers14 claims73 services$2.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Student in an Organized Health Care Education/Training Program
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Podiatrist
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Social Worker
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Family Medicine
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Family Medicine
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Family Medicine
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701
Family Medicine
617 W CLAIREMONT AVE
EAU CLAIRE, WI 54701

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 Justin Ellingstad's NPI number?

The NPI number for Justin Ellingstad is 1386130136. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Justin Ellingstad located?

Justin Ellingstad practices at 617 W Clairemont Ave, Eau Claire, WI 54701. The listed phone number is (715) 834-2788.

What is Justin Ellingstad's specialty?

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

Is Justin Ellingstad enrolled in Medicare?

Yes. Justin Ellingstad 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 Justin Ellingstad accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Quartz and Security Health Plan list Justin Ellingstad 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 Justin Ellingstad was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.