ELLEN FLORA – Physician Assistant, NPI 1003699158

ELLEN FLORA is a healthcare provider. based in Champaign, Illinois. specializing in PHYSICIAN ASSISTANT. The NPI Number for ELLEN FLORA is 1003699158

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN FLORA
NPI
1003699158
Phone
(803) 645-2068
Address
4550 NICKLAUS DR APT 306
Enumeration Date
14 August 2023
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8592761511
Graduation Year
2023 (3 years ago)
PAC ID
5799149423
Group Practice PAC ID
5496166308
Professional Enrollment ID
I20241213001624
Address ID
KY407412640LO1750XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for ELLEN FLORA

  • 4550 NICKLAUS DR APT 306

    CHAMPAIGN, IL 618221508

    Phone: (803) 645-2068

    Type: Mailing

  • 101 W UNIVERSITY AVE

    CHAMPAIGN, IL 618203981

    Phone: (217) 366-1248

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-04-01 • Largest payer in this snapshot: Janssen Biotech, Inc. ($95).

Total Amount

$200

General + Research + Ownership

Payments

7

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20230914001042IPhysician AssistantILTBD
I20241213001624IPhysician AssistantKYTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths10920$0
99213Established patient office or other outpatient visit, 20-29 minutes6867$0
17000Destruction of precancer skin growth, 1 growth3029$0
11102Biopsy of related skin growth, first growth2929$0
17110Destruction of skin growth, 1-14 growths1515$0
View full utilization report →

Insurance plans in this area (ZIP 61822)

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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: 5496166308View full group profile
NameSpecialtyState
Nurse PractitionerKY
D E R M A T O L O G YKY
Nurse PractitionerKY
D E R M A T O L O G YKY
Nurse PractitionerKY
Physician AssistantKY
Physician AssistantKY
Nurse PractitionerKY
Physician AssistantKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Where can patients find ELLEN FLORA's NPI?
You can confirm ELLEN FLORA with NPI 1003699158; it appears in the national provider directory.
Is ELLEN FLORA currently active in the NPI registry?
CMS-published data lists ELLEN FLORA as an active registrant.
What does ELLEN FLORA treat or focus on?
Patients typically see ELLEN FLORA under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is ELLEN FLORA's primary listing?
We display Champaign, Illinois because that is what the record indicates for ELLEN FLORA.
Is ELLEN FLORA a real provider?
This page reflects official NPPES data for NPI 1003699158. Always confirm identity and privileges with the practice and licensing boards.

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