Patrice Ellingson, O.D.
NPI 1639163884 · Optometrist · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patrice Ellingson, O.D. is a Optometrist provider in Fort Wayne, IN (NPI 1639163884).
Provider details
- NPI number
- 1639163884
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 18002448 (IN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-02
- Last updated
- 2018-08-15
Frequently asked questions
- What is Patrice Ellingson's NPI number?
- Patrice Ellingson's National Provider Identifier (NPI) is 1639163884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Patrice Ellingson's specialty?
- Patrice Ellingson is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Patrice Ellingson located?
- Patrice Ellingson's practice location on file with NPPES is 1515 E Paulding Rd, Fort Wayne, IN 46816.
- What is Patrice Ellingson's phone number?
- The practice phone number listed in the NPPES registry for Patrice Ellingson is (260) 744-2273.
- Does Patrice Ellingson accept Medicare?
- Patrice Ellingson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Patrice Ellingson's NPI active?
- Yes — Patrice Ellingson's NPI (1639163884) is active in the NPPES registry as of the last update on 2018-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.