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

Lauren Nicole Ellis, PA

Individual provider Physician Assistant · NPI 1457642753

Lauren Nicole Ellis, PA is a Physician Assistant in Dallas, Texas. Qualified in 2010, 16 years ago. Practices with Bridginglife, Inc, an 11-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone: (214) 645-3597
Fax: (214) 645-6757
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07311 (TX)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1457642753
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 21, 2011
Last updated in NPPESAugust 7, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bridginglife, Inc. — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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