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

Olivia Ellis

Individual provider Physician Assistant · NPI 1487522785

Olivia Ellis is a Physician Assistant in Portsmouth, Virginia. Qualified in 2025, 1 year ago. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025

Practice location Address checks out

3636 High St
Portsmouth, VA 23707-3236
Phone: (757) 398-2200
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110011381 (VA)

Record details

NPI number1487522785
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2025
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026
Mailing address1460 Hambiltonian Way, York, PA 17404-9028

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Portsmouth