Stacy Luann Ellis, PA
NPI 1548448087ActiveIndividual· Physician Assistant· Enid, OK
Physician Assistant (PA) in Enid, Oklahoma, licensed in OK, with an NPI issued in February 2008. 100 Medicare patients in 2024, $8,587 paid; nearly all of their 105 Part D prescriptions were generic (93%).
Overview
| NPI | 1548448087 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Feb 6, 2008 |
| Last updated in NPPES | Jul 28, 2026 |
| Certified by provider | Jul 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1724 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 100 |
|---|---|
| Services billed | 393 across 33 procedure codes |
| Paid by Medicare | $8,587 |
Part D prescriptions in 2024
| Prescriptions (claims) | 105 · 109 30-day fills |
|---|---|
| Patients | 75 |
| Total drug cost | $5,975 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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