Individual provider · Type 1 NPI

Richard Gordon Nellis, PA-C

Physician Assistant · Darien, CT

NPI number 1649438516 Active

Practice location

104 Heights Rd # R103
Darien, CT 06820-4119

Fax (415) 252-7176

Mailing address

20449 Koglin Rd
Hutchinson, MN 55350-4332

Other practice locations

  • 3065 Route 50 Ste 30, Saratoga Springs, NY 12866-2920 · (518) 886-5800
  • 20449 Koglin Rd, Hutchinson, MN 55350-4332 · (612) 327-2732

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X005341 (CT)
Medical Physician Assistant 363AM0700X027096 (NY)
Medical Physician Assistant 363AM0700X10468 (MN)

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…

4 other providers at this address

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About NPI 1649438516

Richard Gordon Nellis, PA-C's National Provider Identifier is 1649438516, issued on May 28, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Darien, CT. The record was last updated on Jan 26, 2026.