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

Ellery Roberts

Individual provider Physician Assistant · NPI 1285324335

Ellery Roberts is a Physician Assistant in Colorado Springs, Colorado. Qualified in 2024, 2 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2023
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Practice location Address checks out

175 S Union Blvd Ste 350
Colorado Springs, CO 80910-3146
Phone: (719) 633-5515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8401 S Chambers Rd, Englewood, CO 80112-3276 — (303) 373-2008

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1285324335
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Colorado Springs