Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dr. Derek Ellingson, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1487848644

Dr. Derek Ellingson, DO practises Pathology in Fort Wayne, Indiana. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2007, 19 years ago. Practices with Cellnetix Pathology PLLC, a 58-clinician group and accepts Medicare assignment. Licensed in Alaska, Iowa, Indiana and Missouri.

Years since qualifying
19
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
AK, IA, IN, MO
In the registry since
2007
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7950 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 435-7001
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 02006527A (IN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence DO05260 (IA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence MEDO7423 (AK)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 2007018750 (MO)

Record details

NPI number1487848644
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 30, 2007
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2007 (19 years in practice)
Group practice Cellnetix Pathology Pllc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients830
Services billed 2,692 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Cellnetix Pathology PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 58 clinicians in the practice; 12 are shown here.

Other providers in Fort Wayne