Mr Jacob Ellis, PA-C in Colorado Springs, CO

Mr Jacob Ellis, PA-C is a Surgery - Vascular Surgery physician based in Colorado Springs, Colorado. Mr Jacob Ellis is licensed to practice in Colorado (license number 1234) and his current practice location is 7808 Ultra Dr, Colorado Springs, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 209-5569.

NPI number for Mr Jacob Ellis is 1407730765 and his current mailing address is 7808 Ultra Dr, Colorado Springs, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407730765.

Contact Information

	Mr Jacob Ellis, PA-C
	7808 Ultra Dr, Colorado Springs, CO 80920-8058
	(719) 209-5569
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Jacob Ellis
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	7808 Ultra Dr, Colorado Springs, Colorado
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1407730765
Provider Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025

Medical Identifiers

Medical identifiers for Mr Jacob Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407730765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	1234 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jacob Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jacob Ellis, PA-C 7808 Ultra Dr, Colorado Springs, CO 80920-8058 Ph: (719) 209-5569	Mr Jacob Ellis, PA-C 7808 Ultra Dr, Colorado Springs, CO 80920-8058 Ph: (719) 209-5569

Reviews and Comments

Surgery Doctors in Colorado Springs, CO

Khurram Ahmad Khan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1633 Medical Center Point, Colorado Springs, CO 80907 Phone: 719-475-9800 Fax: 719-473-5436
Thomas J. Schroeppel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909 Phone: 719-364-6487 Fax: 719-364-6488
Dr. Amilu Rothhammer, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1633 Medical Center Pt, Colorado Springs, CO 80907 Phone: 719-475-9800
Dr. Lisa Lynn Schlitzkus, Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St Ste 500, Colorado Springs, CO 80909 Phone: 719-364-6487
Gregory Carlson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 E Boulder St, Suite 600, Colorado Springs, CO 80909 Phone: 719-365-6487 Fax: 719-364-6488
Dr. John Lindley Frerichs, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4925 N Nevada Ave, Room 416, Colorado Springs, CO 80918 Phone: 719-425-0933
Dr. William C Chambers Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2222 N Nevada Ave, Suite 5017, Colorado Springs, CO 80907 Phone: 719-635-2501 Fax: 719-632-1062

Mr Jacob Ellis, PA-C - Surgery in Colorado Springs, CO