Thomas Ellis, P.A. C
NPI 1881632891 · Physician Assistant · Maple Grove, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Thomas Ellis, P.A. C is a Physician Assistant provider in Maple Grove, MN (NPI 1881632891).
Provider details
- NPI number
- 1881632891
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A. C
- Sex
- Male
- Sole proprietor
- No
- License
- 9063 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing 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
- 2006-06-02
- Last updated
- 2012-09-24
Frequently asked questions
- What is Thomas Ellis's NPI number?
- Thomas Ellis's National Provider Identifier (NPI) is 1881632891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Thomas Ellis's specialty?
- Thomas Ellis is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Thomas Ellis located?
- Thomas Ellis's practice location on file with NPPES is 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073.
- What is Thomas Ellis's phone number?
- The practice phone number listed in the NPPES registry for Thomas Ellis is (763) 315-4300.
- Does Thomas Ellis accept Medicare?
- Thomas Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Thomas Ellis's NPI active?
- Yes — Thomas Ellis's NPI (1881632891) is active in the NPPES registry as of the last update on 2012-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.