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Tadecher Ellis, PA-C

NPI 1891199972ActiveIndividual· Physician Assistant· Sunrise, FL

Physician Assistant (PA-C) in Sunrise, Florida, licensed in FL, with an NPI issued in October 2014. Medicare paid $353,680 for services to 540 patients in 2024.

Overview

NPI1891199972
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorYes
NPI issuedOct 17, 2014
Last updated in NPPESNov 21, 2025
Certified by providerNov 21, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA9108390FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (FL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients540
Services billed5,076 across 4 procedure codes
Paid by Medicare$353,680

Medicare sources and data years

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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