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

Mrs. Rachel Ellis, PA-S

Individual provider Athletic Trainer · NPI 1164961884

Mrs. Rachel Ellis, PA-S is a Physician Assistant in Norfolk, Virginia. Qualified in 2021, 5 years ago. Practices with Emergency Physicians of Tidewater, a 165-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1533 Kilmer Ln
Norfolk, VA 23502-1809
Phone: (585) 329-9409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Athletic Trainer Taxonomy 2255A2300X · Licence 0126001457 (VA)

Record details

NPI number1164961884
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorYes
NPI enumeratedFebruary 14, 2017
Last updated in NPPESDecember 7, 2020
Certification dateDecember 7, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Emergency Physicians Of Tidewater — 165 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Norfolk