1. Home
  2. Directory
  3. Georgia
  4. Cumming
  5. Physician Assistant
  6. NPI Profile

ELLEN ORTLIP
NPI 1417735085
Physician Assistant in Cumming, GA

Active since September 15, 2023PECOS EnrolledAccepts Medicare Assignment
4835 WESTGATE DR, CUMMING, GA 30040(770) 355-8596 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellen Ortlip NPPES

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

ELLEN ORTLIP (NPI 1417735085) is an individual physician assistant in Cumming, Georgia and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417735085
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLEN ORTLIP
Location Address4835 WESTGATE DRCumming, GA 30040-9446
Mailing Address4835 Westgate DrCumming, GA 30040-9446
Phone(770) 355-8596
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1417735085 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.
4835 WESTGATE DR, Cumming, GA 30040
Open in Google Maps ↗

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

Ellen Ortlip 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 ID5890207724
PECOS Enrollment IDI20250625002379
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 30040 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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 Ellen Ortlip's NPI number?

The NPI number for Ellen Ortlip is 1417735085. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Ellen Ortlip located?

Ellen Ortlip practices at 4835 Westgate Dr, Cumming, GA 30040. The listed phone number is (770) 355-8596.

What is Ellen Ortlip's specialty?

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

Is Ellen Ortlip enrolled in Medicare?

Yes. Ellen Ortlip 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.

When was this NPI record last updated?

The NPPES record for Ellen Ortlip was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.