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

Elysia Small, PA

Individual provider Medical Physician Assistant · NPI 1174074991

Elysia Small, PA is a Physician Assistant in Flagstaff, Arizona. Qualified in 2016, 10 years ago. Practices with Ryan Internal Medicine PC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1501 S Yale St Bldg 2 Ste 150
Flagstaff, AZ 86001-7304
Phone: (928) 527-4325
Fax: (928) 527-4327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6563 (AZ)

Record details

NPI number1174074991
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2016
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ryan Internal Medicine Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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