CHELSEA ELLIS (PA-C) – Physician Assistant, NPI 1194147538
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for CHELSEA ELLIS (PA-C)
12100 DIX TOLEDO RD
SOUTHGATE, MI 481953531
Phone:
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 87 Open Payments records for all available years, with a total value of $1,660.
Total Amount is formed as General ($1,660) + Research ($0) + Ownership ($0) = $1,660.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($533).
Total Amount
$1,660
General + Research + Ownership
Payments
87
Total payment records
General Amount
$1,660
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $533 |
| USWM, LLC | $237 |
| GlaxoSmithKline, LLC. | $101 |
| PFIZER INC. | $86 |
| Orexo US, Inc. | $80 |
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: 2022-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220411000239 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 96 | 47 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 39 | 16 | $0 |
| 83036 | Hemoglobin a1c level | 27 | 17 | $0 |
| 81003 | Automated urinalysis test | 19 | 17 | $0 |
Insurance plans in this area (ZIP 48195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Addiction Medicine, General Practice | OH | |
| Physician Assistant | MI |
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