P Praxis·MD
● Active Type 1 · Individual

MRS. Melanie Jane Ellis, PA

Physician Assistant·Jbsa-Randolph, TX· NPI 1043395874 · Enumerated 2006 · 19 years on NPI
Ellis is 1 of 1 physician assistant providers in Jbsa-Randolph and 1 of 2220 in Texas.
NPI age
19 years
Enumerated 2006-10-27
Primary specialty
Physician Assistant
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-05-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2220 active physician assistant providers in Texas.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
359 Medical Group, 221 Thrid Street West, Bldg 1040
Jbsa-Randolph, TX 78150
📞 2106528544
Mailing address
145 Clapboard Run
Cibolo, TX 781084334
📞 2105639646

Specialties

  • Physician Assistant Primary
    Definition to come...
    WA license #PA10003433 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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