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

Ellie Jane Makoul, PA-C

Individual provider Physician Assistant · NPI 1790505683

Ellie Jane Makoul, PA-C is a Physician Assistant in Portage, Michigan. Graduated from Southern Illinois University School of Medicine in 2024, 2 years ago. Practices with Southern Michigan Pain Consultants PC, an 11-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Trained at
Southern Illinois University School of Medicine
Licensed in
MI
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3770 Glenkerry Ct
Portage, MI 49024-0700
Phone: (269) 329-2887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012711 (MI)

Record details

NPI number1790505683
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Southern Michigan Pain Consultants Pc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Portage