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

Individual provider Physician Assistant · NPI 1154153963

Ellison Pratley, PA-C is a Physician Assistant in Michigan City, Indiana. Qualified in 2024, 2 years ago. Practices with Lakeshore Bone and Joint Institute, PC, a 84-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
Specialties on file
2
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

3777 N Frontage Rd Ste 900
Michigan City, IN 46360-7698
Phone: (219) 921-1444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Gateway Blvd N, Chesterton, IN 46304-9658 — (219) 921-1444

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1154153963
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 19, 2024
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024

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 Lakeshore Bone And Joint Institute, Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Michigan City