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

Jody Ellis, PA-C

Individual provider Medical Physician Assistant · NPI 1457315590

Jody Ellis, PA-C is a Medical Physician Assistant in Munster, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

901 Macarthur Blvd Radiology Dept
Munster, IN 46321-2901
Phone: (219) 836-4569
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1000818A (IN)

Record details

NPI number1457315590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESMarch 18, 2008

Other providers in Munster