Kathleen Dunlevy Ellis, PA-C
Surgical Physician Assistant · Mishawaka, IN
Kathleen Dunlevy Ellis, PA-C is a surgical physician assistant with a practice address in Mishawaka, Indiana, and NPI 1891570545, issued on Aug 30, 2023. Check the license (Indiana 10004107A, as entered in NPPES) with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kathleen Dunlevy Ellis
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 10004107A IN
Self-reported in NPPES; status is on the state search - Practice location
- 611 E Douglas RD Ste 207, Mishawaka, IN 46545
- Phone
- (574) 335-6850
- Enumerated
- Aug 30, 2023
- Record last updated
- Jan 13, 2026
- Medicaid ID
- 300080410 IN
- Medicare enrollment
- Enrolled (PECOS I20231012003358); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 164 in Indiana → Look up another NPI →
Also registered at 611 E Douglas RD Ste 207
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Eric Knapp, D.O.Surgery Physician1700090602
- Sushruta Nagarkatti, M.B.B.S.Surgical Oncology Physician1134416977
- Diana Perez - Solano, PA-CPhysician Assistant1275802332
Verify Kathleen Dunlevy Ellis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 10004107ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
63% fewer Medicare Part D claims than the average surgical physician assistant in 2024
111 Medicare Part D claims for 32 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D.
Most prescribed
- Clopidogrel32 claims
- Metoprolol Tartrate20 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $534.54
18 payments; by number, the most common kind was food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Saint Joseph Regional Medical Center IncMishawaka, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kathleen Dunlevy Ellis among 164 surgical physician assistant records in Indiana
Kathleen Dunlevy Ellis, PA-C is one of 164 surgical physician assistant records with a practice address in Indiana. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 85% of them.
- NPI issued2023 · 85% of these records are older, 10% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2023 · median 2014 among the 109 with a school on file
- Record last updated2026 · 34% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Indiana
There are 164 surgical physician assistant records in Indiana.
All 164 in Indiana → Every provider in Mishawaka → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Mackenzie Griman, PA-CElkhart, IN 465141740170968
- Megan Maloney, PA-CElkhart, IN 465141124429261
- Joshua KwasnickaSouth Bend, IN 466011386190494
- Maria Oxley, PASouth Bend, IN 466011538036025
- Benjamin HaberlySouth Bend, IN 466351679176200
- Melissa Cooper, PA-CMerrillville, IN 464101992088199
- Jimmy Garala, PAMerrillville, IN 464101366003154
- Rami Musleh, PA CSaint John, IN 463731053358580
Common questions
What is Kathleen Dunlevy Ellis, PA-C's NPI number?
Kathleen Dunlevy Ellis, PA-C's National Provider Identifier (NPI) is 1891570545, issued on Aug 30, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Kathleen Dunlevy Ellis, PA-C located?
The NPPES record lists a practice address at 611 E Douglas RD Ste 207, Mishawaka, IN, 46545. Phone: (574) 335-6850. Providers update this record themselves, so call before visiting.
How can I verify Kathleen Dunlevy Ellis, PA-C's license?
NPPES lists Indiana license number 10004107A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
How much does Kathleen Dunlevy Ellis, PA-C prescribe under Medicare Part D?
In 2024, Kathleen Dunlevy Ellis, PA-C had 111 Medicare Part D claims for 32 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.