DANIEL R. ELLIOTT (PA-C) – Physician Assistant, NPI 1023004033

DANIEL R. ELLIOTT (PA-C) is a healthcare provider. based in Canyon lake, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA16841 (CA). The NPI Number for DANIEL R. ELLIOTT (PA-C) is 1023004033

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL R. ELLIOTT (PA-C)
NPI
1023004033
Phone
(961) 471-3888
Address
31588 RAILROAD CANYON RD
Enumeration Date
26 September 2005
Last Update Date
8 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099423300
Graduation Year
2000 (26 years ago)
PAC ID
4082600572
Group Practice PAC ID
9739098617
Professional Enrollment ID
I20240513001614
Address ID
WA993523434RI1135XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for DANIEL R. ELLIOTT (PA-C)

  • 31588, Railroad Canyon Road, Canyon Lake, Riverside County, California, 92587, United States

    CANYON LAKE, CA 925879468

    Phone: (961) 471-3888

    Fax: (951) 471-2965

    Type: Mailing

  • 550 GAGE BLVD STE 101

    RICHLAND, WA 993529532

    Phone: (509) 473-0637

    Fax: (509) 627-2983

    Type: Mailing

  • 1100 GOETHALS DR STE B

    RICHLAND, WA 993523301

    Phone: (509) 942-3080

    Fax: (509) 942-3085

    Type: Location

  • Care Animal Hospital (Veterinary), 29738, Rancho California Road, Temecula Gardens, Old Town, Temecula, Riverside County, California, 92591, United States

    SUITE B

    TEMECULA, CA 925915322

    Phone: (951) 303-6440

    Fax: (951) 303-6449

    Type: Location

  • 29738 Rancho California Rd

    Suite B

    Temecula, CA 925915322

    Phone: (951) 303-6440

    Fax: (951) 303-6449

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $310.

Total Amount is formed as General ($310) + Research ($0) + Ownership ($0) = $310.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: SI-BONE, INC. ($113).

Total Amount

$310

General + Research + Ownership

Payments

8

Total payment records

General Amount

$310

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240513001614IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92587)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739098617View full group profile
NameSpecialtyState
Medical Oncology, Hematology, Hematology/Oncology, Internal MedicineWA
-MO
Hospitalist, Internal MedicineWA
-WA
P O D I A T R YWA
Hematology/Oncology, Internal MedicineWA
Nurse PractitionerKS
Nurse PractitionerNC
Physician AssistantWA
Internal MedicineWA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does DANIEL R. ELLIOTT (PA-C) have a public NPI I can cite?
Public records show DANIEL R. ELLIOTT (PA-C) under NPI 1023004033.
Does the public listing show DANIEL R. ELLIOTT (PA-C) as active?
DANIEL R. ELLIOTT (PA-C)'s NPI record reflects an active status in NPPES.
Which specialty label fits DANIEL R. ELLIOTT (PA-C)?
NPPES ties DANIEL R. ELLIOTT (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DANIEL R. ELLIOTT (PA-C)?
DANIEL R. ELLIOTT (PA-C) shows a connection to Canyon Lake, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

400, Pepper Avenue, West Colton, Colton, San Bernardino County, California, 92324, United States
NPI: 1538319264

MICHAEL D BOUCHER (P.A.)

Physician Assistant
31588 RAILROAD CANYON RD
NPI: 1386068310

TASHANYA CAMPOS (PHYSICIAN ASSISTANT)

Medical Physician Assistant
45 W Crystal Lake St Ste 197
NPI: 1093224172
22539 CASCADE DR
NPI: 1679113989

MADISON MICHELLE WESSELN (PA-C)

Student in an Organized Health Care Education/Training Program
39000 BOB HOPE DR
NPI: 1215554258

DONICA ALEXA LONEY (PA)

Physician Assistant
23196 CANYON LAKE DR S
NPI: 1457135493