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

Tyler Patrick Ellis

Individual provider Audiologist-Hearing Aid Fitter · NPI 1699392381

Tyler Patrick Ellis is a Qualified Audiologist in Mountlake Terrace, Washington. Qualified in 2020, 6 years ago. Practices with Pnw Audiology Specialty Group PLLC, a 9-clinician group and accepts Medicare assignment. Licensed in North Carolina and Washington.

Years since qualifying
6
Licensed in
NC, WA
In the registry since
2020
Specialties on file
3

Practice location Address checks out

21907 64th Ave W Ste 100
Mountlake Terrace, WA 98043-2298
Phone: (206) 880-7333
Fax: (206) 880-7367
Show map & directions

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

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence LD61240013 (WA)
Audiologist-Hearing Aid Fitter Taxonomy 237600000X · Licence LD61240013 (WA)
Audiologist Taxonomy 231H00000X · Licence 14278 (NC)

Record details

NPI number1699392381
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2020
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address21907 64th Ave W Ste 100, Mountlake Terrace, WA 98043-2298

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Pnw Audiology Specialty Group Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mountlake Terrace