1. Home
  2. Directory
  3. West Virginia
  4. Charleston
  5. Physician Assistant
  6. NPI Profile

KILLIAN ELLIS PA-C
NPI 1740879394
Physician Assistant in Charleston, WV

Active since January 18, 2021PECOS Enrolled
4500 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 926-1001 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Killian Ellis Pa-c NPPES

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

KILLIAN ELLIS PA-C (NPI 1740879394) is an individual physician assistant in Charleston, West Virginia and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Beckley.

NPPES Registry Identity

NPI1740879394
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKILLIAN ELLISCredential: PA-C
Location Address4500 MACCORKLE AVE SECharleston, WV 25304-1806
Mailing Address16 Sugar Maple LnOna, WV 25545-3500 · (304) 360-5498
Phone(304) 926-1001
Sole ProprietorNo
Enumeration DateJanuary 18, 2021
NPPES CertifiedJanuary 15, 2021
✔ NPI 1740879394 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.
4500 MACCORKLE AVE SE, Charleston, WV 25304
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Morning Star LnBeckley, WV 25801-7118 · Phone (304) 252-3900

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Killian Ellis Pa-c 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 25304 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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

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

CHARLESTON SLEEP CENTER PLLC
Clinic/Center (Sleep Disorder Diagnostic)
4500 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 981-6046

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 Killian Ellis's NPI number?

The NPI number for Killian Ellis is 1740879394. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Where is Killian Ellis located?

Killian Ellis practices at 4500 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 926-1001.

What is Killian Ellis's specialty?

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

Is Killian Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Killian Ellis was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.