Individual provider · Type 1 NPI

Nathan P. Ellis

Physician Assistant · Shattuc, IL

NPI number 1184549602 Active

Practice location

14 Lakeland Dr
Shattuc, IL 62231-8575

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

About NPI 1184549602

Nathan P. Ellis's National Provider Identifier is 1184549602, issued on Aug 12, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shattuc, IL. The record was last updated on Aug 12, 2026.