Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea M Ellis, MD

Individual provider Family Medicine Physician · NPI 1063661148

Andrea M Ellis, MD is a Family Practice in Tyler, Texas. Graduated from University of Texas Southwestern Medical School at Dallas in 2008, 18 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
18
Trained at
University of Texas Southwestern Medical School at Dallas
Licensed in
TX
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8288 S Broadway Ave
Tyler, TX 75703-5262
Phone: (903) 606-7060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 520 Douglas Blvd, Tyler, TX 75702-8307 — (903) 593-1721
  • 3593 E Grande Blvd, Tyler, TX 75707-1400 — (903) 839-2585

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence N7419 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence BP10032729 (TX)

Record details

NPI number1063661148
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2008
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated 2008 (18 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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