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

Madeline Wood Ellis, PA

Individual provider Medical Physician Assistant · NPI 1568042935

Madeline Wood Ellis, PA is a Physician Assistant in Peoria, Arizona. Qualified in 2020, 6 years ago. Practices with Banner Urgent Care Services LLC, a 205-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona and Washington.

Years since qualifying
6
Licensed in
AZ, WA
In the registry since
2021
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.

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Practice location Address checks out

21980 N 83rd Ave
Peoria, AZ 85383-1850
Phone: (623) 465-6375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6323 S Rural Rd Ste 107, Tempe, AZ 85283-2933 — (480) 827-5630
  • 201 16th Ave E, Seattle, WA 98112-5226 — (206) 326-3000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8497 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA61306757 (WA)

Record details

NPI number1568042935
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 10, 2021
Last updated in NPPESApril 29, 2025
Certification dateApril 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner Urgent Care Services Llc — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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