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

Ellen Flora

Individual provider Physician Assistant · NPI 1003699158

Ellen Flora is a Physician Assistant in Champaign, Illinois. Qualified in 2023, 3 years ago. Practices with Modern Dermatology of Kentucky LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

101 W University Ave
Champaign, IL 61820-3981
Phone: (217) 366-1248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)

Record details

NPI number1003699158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023
Mailing address4550 Nicklaus Dr Apt 306, Champaign, IL 61822-1508

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Modern Dermatology Of Kentucky Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Champaign