ROBERT GREG ELLIS PA-C
NPI 1912927971
Physician Assistant - Surgical in Skowhegan, ME

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
46 FAIRVIEW AVE STE 223, SKOWHEGAN, ME 04976(207) 474-7045(207) 474-5173 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2021, Dec 11, 2019, Mar 17, 2017 and 1 more (4 updates tracked since 2016).

About Robert Greg Ellis Pa-c NPPES

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

ROBERT GREG ELLIS PA-C (NPI 1912927971) is an individual surgical provider in Skowhegan, Maine, licensed in Maine (PA575) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Redington Fairview General Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1912927971
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameROBERT GREG ELLISCredential: PA-C
Location Address46 FAIRVIEW AVE STE 223Skowhegan, ME 04976-1481
Mailing AddressPo Box 468Skowhegan, ME 04976-0468 · (207) 858-8367 · Fax (207) 474-9261
Fax(207) 474-5173
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 30, 20234 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
NPI 1912927971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in ME · PA575
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA575 (ME)
46 FAIRVIEW AVE STE 223, Skowhegan, ME 04976

Other Identifiers 2

Medicaid1912927971ME
OtherAP185001ME · Medicare Ptan

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

Robert Greg Ellis Pa-c 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 ID446251532
PECOS Enrollment IDI20070116000021
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Redington Fairview General Hospital

Critical Access Hospitals · Skowhegan, ME
4/5 CMS rating
OwnershipProprietary
CMS Certification Number201314
Location46 Fairview Ave PO Box 468Skowhegan, ME 04976 · Somerset County
Emergency services

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
46 FAIRVIEW AVE STE 223
SKOWHEGAN, ME 04976
Physician Assistant
46 FAIRVIEW AVE STE 223
SKOWHEGAN, ME 04976
Surgery
46 FAIRVIEW AVE STE 223
SKOWHEGAN, ME 04976
Surgery
46 FAIRVIEW AVE STE 223
SKOWHEGAN, ME 04976

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 Robert Ellis's NPI number?

The NPI number for Robert Ellis is 1912927971. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Robert Ellis located?

Robert Ellis practices at 46 Fairview Ave Ste 223, Skowhegan, ME 04976. The listed phone number is (207) 474-7045.

What is Robert Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Robert Ellis enrolled in Medicare?

Yes. Robert 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.

Is Robert Ellis affiliated with any hospitals?

According to CMS data, Robert Ellis is affiliated with Redington Fairview General Hospital.

When was this NPI record last updated?

The NPPES record for Robert Ellis was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.