1. Home
  2. Directory
  3. Colorado
  4. Springs
  5. Surgery
  6. NPI Profile

MR. JACOB ELLIS PA-C
NPI 1407730765
Surgery - Vascular Surgery in Colorado Springs, CO

Active since July 31, 2025
7808 ULTRA DR, COLORADO SPRINGS, CO 80920(719) 209-5569 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jacob Ellis Pa-c NPPES

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

MR. JACOB ELLIS PA-C (NPI 1407730765) is an individual vascular surgery provider in Colorado Springs, Colorado, licensed in Colorado (1234) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1407730765
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameMR. JACOB ELLISCredential: PA-C
Location Address7808 ULTRA DRColorado Springs, CO 80920-8058
Mailing Address7808 Ultra DrColorado Springs, CO 80920-8058 · (719) 209-5569
Phone(719) 209-5569
Sole ProprietorYes
Enumeration DateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1407730765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in CO · 1234
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
7808 ULTRA DR, Colorado Springs, CO 80920
Open in Google Maps ↗

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 Jacob Ellis's NPI number?

The NPI number for Jacob Ellis is 1407730765. It was assigned to this individual provider in the NPPES registry on July 31, 2025.

Where is Jacob Ellis located?

Jacob Ellis practices at 7808 Ultra Dr, Colorado Springs, CO 80920. The listed phone number is (719) 209-5569.

What is Jacob Ellis's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Jacob Ellis was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.