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

Elysia Churchman

Individual provider Surgical Physician Assistant · NPI 1578921003

Elysia Churchman is a Physician Assistant in Bend, Oregon. Qualified in 2015, 11 years ago. Practices with Praxis Health PC, a 176-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2016
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Practice location Address checks out

1140 SW Simpson Ave Ste 110
Bend, OR 97702-3789
Phone: (541) 389-7741
Fax: (541) 278-8375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 175099 (OR)

Record details

NPI number1578921003
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 28, 2016
Last updated in NPPESDecember 30, 2022
Certification dateDecember 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Praxis Health Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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