STACY LUANN ELLIS PA
NPI 1548448087
Physician Assistant in Enid, OK
About Stacy Luann Ellis Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACY LUANN ELLIS PA (NPI 1548448087) is an individual physician assistant in Enid, Oklahoma, licensed in Oklahoma (1724) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Stacy Luann Ellis Pa 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ENID, OK 73703
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 Stacy Ellis's NPI number?
The NPI number for Stacy Ellis is 1548448087. It was assigned to this individual provider in the NPPES registry on February 6, 2008.
Where is Stacy Ellis located?
Stacy Ellis practices at 2821 N Van Buren St, Enid, OK 73703. The listed phone number is (580) 616-6340.
What is Stacy Ellis's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Stacy Ellis enrolled in Medicare?
Yes. Stacy Ellis 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 Stacy Ellis accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Stacy Ellis 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 Stacy Ellis was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Stacy Luann Ellis, PA · NPI 1548448087
Physician Assistant physician in Enid, Oklahoma. Individual provider, active in the CMS NPPES registry since February 6, 2008.
## Identity
- **NPI:** 1548448087 (Entity type: Individual)
- **Enumerated:** February 6, 2008
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 1724 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 2821 N VAN BUREN ST, Enid, OK 73703-1729
- **Phone:** (580) 616-6340 · **Fax:** (580) 616-3644
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** July 28, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548448087) · Data from the CMS NPPES public registry.