MR. JUSTIN D. ELLIS P.A.
NPI 1972566651
Physician Assistant in Hickory, NC

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
1771 TATE BLVD SE, SUITE 201, HICKORY, NC 28602(828) 324-4804(828) 324-7256 Get Directions Write a Review

NPPES record last updated: June 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Justin D. Ellis P.a. NPPES

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

MR. JUSTIN D. ELLIS P.A. (NPI 1972566651) is an individual physician assistant in Hickory, North Carolina, licensed in North Carolina (102909) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Frye Regional Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1972566651
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JUSTIN D. ELLISCredential: P.A.
Location Address1771 TATE BLVD SE, SUITE 201Hickory, NC 28602-4249
Mailing Address415 N Center St, Suite 300Hickory, NC 28601-5057 · (828) 328-3300 · Fax (828) 328-9101
Fax(828) 324-7256
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 11, 2006
Last NPPES UpdateJune 3, 2015
NPI 1972566651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 102909
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.
1771 TATE BLVD SE, Hickory, NC 28602

Other Identifiers 2

Medicare UPINP06135NC
Medicare PIN2752793NC

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

Mr. Justin D. Ellis P.a. 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 ID8820132871
PECOS Enrollment IDI20100215000658
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
155 services126 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients

Hospital Affiliations CMS Care Compare 2

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

Frye Regional Medical Center

Acute Care Hospitals · Hickory, NC
1/5 CMS rating
OwnershipProprietary
CMS Certification Number340116
Location420 N Center StHickory, NC 28601 · Catawba County
Emergency services Birthing friendly

Catawba Valley Medical Center

Acute Care Hospitals · Hickory, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340143
Location810 Fairgrove Church RdHickory, NC 28602 · Catawba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 16

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

Internal Medicine
1771 TATE BLVD SE, SUITE 103
HICKORY, NC 28602
Surgery
1771 TATE BLVD SE, SUITE 101
HICKORY, NC 28602
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Psychiatry & Neurology (Psychiatry)
1771 TATE BLVD SE, STE 103
HICKORY, NC 28602
Internal Medicine (Clinical Cardiac Electrophysiology)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602
Clinic/Center (Sleep Disorder Diagnostic)
1771 TATE BLVD SE, SUITE #102
HICKORY, NC 28602
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, STE 201
HICKORY, NC 28602
Internal Medicine (Cardiovascular Disease)
1771 TATE BLVD SE, SUITE 201
HICKORY, NC 28602

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 Justin Ellis's NPI number?

The NPI number for Justin Ellis is 1972566651. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Justin Ellis located?

Justin Ellis practices at 1771 Tate Blvd SE Suite 201, Hickory, NC 28602. The listed phone number is (828) 324-4804.

What is Justin Ellis's specialty?

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

Is Justin Ellis enrolled in Medicare?

Yes. Justin 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 Justin Ellis accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Justin 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.

Is Justin Ellis affiliated with any hospitals?

According to CMS data, Justin Ellis is affiliated with Frye Regional Medical Center and Catawba Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Ellis was last updated on June 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.