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

Katie Jo Ellis, PA

Individual provider Physician Assistant · NPI 1629017850

Katie Jo Ellis, PA is a Physician Assistant in Lima, Ohio. Graduated from University of Nebraska College of Medicine in 2013, 13 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
13
Trained at
University of Nebraska College of Medicine
Licensed in
OH
In the registry since
2006
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

730 W Market St
Lima, OH 45801-4602
Phone: (419) 227-3361
Fax: (419) 226-9826
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50001778 (OH)

Record details

NPI number1629017850
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESJanuary 25, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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