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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.

MR. RYAN MICHAEL ELLIS PA
NPI 1528336146
Physician Assistant in West Valley City, UT

Active since December 09, 2011PECOS Enrolled
5373 W LAKE PARK BLVD, WEST VALLEY CITY, UT 84120(801) 902-8010 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 18, 2026, Nov 29, 2021, Aug 18, 2016 (3 updates tracked since 2016).

About Mr. Ryan Michael Ellis Pa NPPES

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

MR. RYAN MICHAEL ELLIS PA (NPI 1528336146) is an individual physician assistant in West Valley City, Utah, licensed in Utah (13875135-1206) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Wildomar.

NPPES Registry Identity

NPI1528336146
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RYAN MICHAEL ELLISCredential: PA
Location Address5373 W LAKE PARK BLVDWest Valley City, UT 84120-8208
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 902-8010
Sole ProprietorNo
Enumeration DateDecember 9, 2011
Last NPPES UpdateAugust 18, 20263 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1528336146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 13875135-1206
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA21959 (CA)
5373 W LAKE PARK BLVD, West Valley City, UT 84120
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Secondary Practice Location 1

Location 136485 Inland Valley DrWildomar, CA 92595-9681 · Phone (951) 566-5610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ryan Michael Ellis Pa 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 84120 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 11

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

THUY VUONG NGUYEN TRAN
Nurse Practitioner
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 902-8080
ERIN BATHURST HELMS MD
Family Medicine
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 902-8080
DR. KAITLIN E. MCLEOD MD
Family Medicine
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 902-8080
KAYLA DUNCAN
Social Worker (Clinical)
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Salt Lake County (385) 622-0316
MR. ROBERT SCOTT FLETCHER FNP
Nurse Practitioner (Family)
5373 W LAKE PARK BLVD
WEST VALLEY, UT 84120
Salt Lake County (801) 902-8080
DR. VANESSA GALLI MD
Family Medicine
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 902-8080
DR. JAKE DOYLE VEIGEL M.D.
Family Medicine (Sports Medicine)
5373 W LAKE PARK BLVD
WEST VALLEY CITY, UT 84120
Salt Lake County (801) 902-7960
CHELYN CRAPO FULLMER
Advanced Practice Midwife
5373 W LAKE PARK BLVD
SALT LAKE CITY, UT 84120
Salt Lake County (801) 902-7960

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 Ryan Ellis's NPI number?

The NPI number for Ryan Ellis is 1528336146. It was assigned to this individual provider in the NPPES registry on December 9, 2011.

Where is Ryan Ellis located?

Ryan Ellis practices at 5373 W Lake Park Blvd, West Valley City, UT 84120. The listed phone number is (801) 902-8010.

What is Ryan Ellis's specialty?

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

Is Ryan Ellis enrolled in Medicare?

Yes. Ryan Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Ellis was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.