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

Stew Ellington

Individual provider Medical Physician Assistant · NPI 1871116913

Stew Ellington is a Physician Assistant in Bend, Oregon. Qualified in 2024, 2 years ago. Practices with Central Oregon Spine and Sports LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2020

Practice location Address checks out

2115 NE Wyatt Ct Ste 101
Bend, OR 97701-7679
Phone: (541) 205-7457
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA223676 (OR)

Record details

NPI number1871116913
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 23, 2020
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address2115 Ne Wyatt Ct Ste 101, Bend, OR 97701-7679

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Central Oregon Spine And Sports Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bend