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

Ellie Elizabeth Lavery

Individual provider Physician Assistant · NPI 1396618674

Ellie Elizabeth Lavery is a Physician Assistant in Potomac, Maryland. Qualified in 2025, 1 year ago. Practices with University of Maryland Physicians PA, a 390-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

10015 Gable Manor Ct
Potomac, MD 20854-5000
Phone: (240) 994-9853
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1396618674
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice University Of Maryland Physicians Pa — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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