Kathleen Dunlevy Ellis, PA-C
Kathleen Dunlevy Ellis, PA-C is a Physician Assistant in Mishawaka, Indiana. Qualified in 2023, 3 years ago. Practices with Saint Joseph Regional Medical Center Inc, a 141-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 3
- Licensed in
- IN
- In the registry since
- 2023
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
611 E Douglas Rd Ste 207Mishawaka, IN 46545-1465
Phone: (574) 335-6850
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X · Licence 10004107A (IN) |
|---|
Record details
| NPI number | 1891570545 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 30, 2023 |
| Last updated in NPPES | January 13, 2026 |
| Certification date | January 13, 2026 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Saint Joseph Regional Medical Center Inc — 141 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |