Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Teylor N Ellis, PA-C

Individual provider Physician Assistant · NPI 1699402693

Teylor N Ellis, PA-C is a Physician Assistant in Indianapolis, Indiana. Qualified in 2022, 4 years ago. Practices with Little Clinic of in LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5718 Crawfordsville Rd
Indianapolis, IN 46224-3704
Phone: (317) 240-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 99114632A (IN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1699402693
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 1, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Little Clinic Of In Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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