Madeline Wood Ellis, PA
NPI 1568042935ActiveIndividual· Physician Assistant, Medical· Peoria, AZ
Physician Assistant, Medical (PA) with Banner Urgent Care Services LLC and 1 other group, practicing in Peoria, Arizona. 12 Medicare patients in 2024, $1,043 paid; nearly all of their 74 Part D prescriptions were generic (91%).
Overview
| NPI | 1568042935 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Apr 10, 2021 |
| Last updated in NPPES | Apr 29, 2025 |
| Certified by provider | Apr 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 8497 | AZ |
| Physician Assistant, Medical | 363AM0700X | PA61306757 | WA |
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 (AZ); Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 25 across 8 procedure codes |
| Paid by Medicare | $1,043 |
Part D prescriptions in 2024
| Prescriptions (claims) | 74 · 74 30-day fills |
|---|---|
| Patients | 48 |
| Total drug cost | $1,307 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Banner Urgent Care Services LLCScottsdale, AZ · 202 clinicians
- Banner Urgent Care Arizona LLCCasa Grande, AZ · 45 clinicians
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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