MADELINE WOOD ELLIS PA
NPI 1568042935
Physician Assistant - Medical in Peoria, AZ

Active since April 10, 2021PECOS EnrolledAccepts Medicare Assignment
21980 N 83RD AVE, PEORIA, AZ 85383(623) 465-6375 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2022, Apr 10, 2021 (2 updates tracked since 2021).

About Madeline Wood Ellis Pa NPPES

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

MADELINE WOOD ELLIS PA (NPI 1568042935) is an individual medical provider in Peoria, Arizona, licensed in Arizona (8497) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1568042935
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMADELINE WOOD ELLISCredential: PA
Location Address21980 N 83RD AVEPeoria, AZ 85383-1850
Mailing Address21980 N 83rd AvePeoria, AZ 85383-1850 · (623) 465-6375
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 10, 2021
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
NPI 1568042935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in AZ · 8497 Licensed in WA · PA61306757
21980 N 83RD AVE, Peoria, AZ 85383

Secondary Practice Locations 2

Location 1201 16th Ave ESeattle, WA 98112-5226 · Phone (206) 326-3000 · Fax (877) 515-2975
Location 26323 S Rural Rd Ste 107Tempe, AZ 85283-2933 · Phone (480) 827-5630

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

Madeline Wood 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.

PECOS PAC ID8729485164
PECOS Enrollment IDI20210927003335
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.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Urgent Care)
21980 N 83RD AVE
PEORIA, AZ 85383
Nurse Practitioner (Family)
21980 N 83RD AVE
PEORIA, AZ 85383

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 Madeline Ellis's NPI number?

The NPI number for Madeline Ellis is 1568042935. It was assigned to this individual provider in the NPPES registry on April 10, 2021.

Where is Madeline Ellis located?

Madeline Ellis practices at 21980 N 83rd Ave, Peoria, AZ 85383. The listed phone number is (623) 465-6375.

What is Madeline Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Madeline Ellis enrolled in Medicare?

Yes. Madeline 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.

When was this NPI record last updated?

The NPPES record for Madeline Ellis was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.