Richard Gordon Nellis, PA-C - Medicare Physician Assistant in Darien, CT

  1. Home
  2. Physician Assistant
  3. CT
  4. Darien
Richard Gordon Nellis, PA-C is a medicare enrolled "Physician Assistant" in Darien, Connecticut. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ivy Medical Group Pllc, Vitalcare Health Services Pc, Ivy Medical Group Pllc, Vitalcare Health Services Pc, Dr Rebman Medical Pa, Vitalcare Health Services Pc, River's Edge Hospital And Clinic, Vitalcare Health Services Pc, Vitalcare Health Services Pc, Ivy Medical Group Pllc, Vitalcare Health Services Pc, Vitalcare Health Services Pc, Ivy Medical Group Pllc, Vitalcare Health Services Pc, Vitalcare Health Services Pc, Ivy Medical Group Pllc and his current practice location is 104 Heights Rd # R103, Darien, Connecticut. You can reach out to his office (for appointments etc.) via phone at (888) 663-6331.

Richard Gordon Nellis is licensed to practice in Connecticut (license number 005341) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649438516.

Contact Information

Richard Gordon Nellis, PA-C
104 Heights Rd # R103,
Darien, CT 06820-4119
(888) 663-6331
(415) 252-7176

Map and Direction




Provider's Profile

Full NameRichard Gordon Nellis
GenderMale
SpecialityPhysician Assistant
Experience18 Years
Location104 Heights Rd # R103, Darien, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard Gordon Nellis graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1649438516
  • Provider Enumeration Date: 05/28/2008
  • Last Update Date: 01/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2567520083
  • Enrollment ID: I20211116000956

Medical Identifiers

Medical identifiers for Richard Gordon Nellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649438516NPI-NPPES
1082853OtherNCCPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 005341 (Connecticut)Primary
363AM0700XPhysician Assistant - Medical 027096 (New York)Secondary
363AM0700XPhysician Assistant - Medical 10468 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
River's Edge Hospital & ClinicSt peter, MNHospital
Ridgeview Sibley Medical CenterArlington, MNHospital
Ridgeview Lesueur Medical CenterLe sueur, MNHospital
Easton Skilled Nursing And Rehabilitation CenterEaston, PANursing home
Oak Grove CenterWaterville, MENursing home
Crestview CenterLanghorne, PANursing home
Lutheran Rehabilitation And Skilled Care CenterWorcester, MANursing home
Bethlehem South Skilled Nursing And RehabilitationBethlehem, PANursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ivy Medical Group Pllc4981097797120
Vitalcare Health Services Pc226496186146
Ivy Medical Group Pllc4981097797120
Vitalcare Health Services Pc226496186146
Dr Rebman Medical Pa367808740088
Vitalcare Health Services Pc226496186146
River's Edge Hospital And Clinic721484939727
Vitalcare Health Services Pc226496186146
Vitalcare Health Services Pc226496186146
Ivy Medical Group Pllc4981097797120
Vitalcare Health Services Pc226496186146
Vitalcare Health Services Pc226496186146
Ivy Medical Group Pllc4981097797120
Vitalcare Health Services Pc226496186146
Vitalcare Health Services Pc226496186146
Ivy Medical Group Pllc4981097797120

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard Gordon Nellis allows following entities to bill medicare on his behalf.
Entity NamePost Acute Specialists LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114441565
PECOS PAC ID: 1951676568
Enrollment ID: O20181004000904
Entity NameIvy Medical Group PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700558798
PECOS PAC ID: 4981097797
Enrollment ID: O20241227001555
Entity NameVitalcare Health Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235954389
PECOS PAC ID: 2264961861
Enrollment ID: O20250904004752
Entity NameDaniel Funsch Jr, M.D., P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316784580
PECOS PAC ID: 1951801836
Enrollment ID: O20251002004171
Entity NameDr Rebman Medical PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669276689
PECOS PAC ID: 3678087400
Enrollment ID: O20251213000458
Entity NameDr Rebman BH LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114894540
PECOS PAC ID: 6406340421
Enrollment ID: O20260203002776

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. Richard Gordon Nellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Richard Gordon Nellis, PA-C
20449 Koglin Rd,
Hutchinson, MN 55350-4332

Ph: (612) 327-2732		Richard Gordon Nellis, PA-C
104 Heights Rd # R103,
Darien, CT 06820-4119

Ph: (888) 663-6331

Reviews and Comments


Physician Assistant Nurses in Darien, CT

Shontelle Brown, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 104 Heights Rd # R103, Darien, CT 06820
Phone: 888-663-6331    Fax: 415-252-7176
Mrs. Melissa Pulcini-buttine, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 106 Noroton Ave, Darien, CT 06820
Phone: 203-655-9904    
Erin M. Fallon, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 104 Heights Rd # R103, Darien, CT 06820
Phone: 888-663-6331    Fax: 415-252-7176
Bridget Seitz Wolters,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 7 Musket Ln, Darien, CT 06820
Phone: 203-898-4356    
Robert James Lucas, MPAS PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 17 Old Kings Highway South, A & M Surgery, Darien, CT 06820
Phone: 203-656-0402    Fax: 203-656-4467
Janine A Tedesco, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 85 Old Kings Hwy N, Darien, CT 06820
Phone: 203-425-2790    Fax: 203-425-2794
Aruna Kotla, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Boston Post Rd, Darien, CT 06820
Phone: 203-276-4282    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.