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

Individual provider Physician Assistant · NPI 1467675454

Vanessa Lynn Elledge, PA-C is a Physician Assistant in Kingwood, Texas. Qualified in 2005, 21 years ago. Practices with Baylor St Luke's Medical Group, a 181-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2007
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

22698 Professional Dr Ste 110
Kingwood, TX 77339-5705
Phone: (281) 312-8521
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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 PA04602 (TX)

Record details

NPI number1467675454
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Baylor St. Luke'S Medical Group — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Kingwood