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

Dr. Kristin Alexandria Ellis, DO

Individual provider Urology Physician · NPI 1629472170

Dr. Kristin Alexandria Ellis, DO is an Urology in Stuart, Florida. Graduated from Philadelphia College of Osteopathic Medicine in 2016, 10 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
10
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
FL
In the registry since
2014
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.

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Practice location Address checks out

3801 S Kanner Hwy Ste 200
Stuart, FL 34994-4801
Phone: (772) 419-4834
Fax: (772) 419-4833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence OS20624 (FL)

Record details

NPI number1629472170
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 13, 2014
Last updated in NPPESMarch 22, 2024
Certification dateMarch 22, 2024

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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