Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891199972 Individual Practitioner Female Practitioner

Tadecher Ellis , PA-C

Physician Assistant • Sunrise, FL

Professional Overview & Biography Verified Profile Summary

Tadecher Ellis, PA-C is a registered healthcare professional specializing in Physician Assistant in Sunrise, FL. Practice services are available at 9711 W OAKLAND PARK BLVD under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9711 W Oakland Park Blvd

Sunrise, FL 333517013

Telephone 8722313162
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Sunrise, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Sunrise, FL (10376 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
3,474 457 $324.00 $91.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
1,283 256 $225.33 $63.43
99306 Initial nursing facility visit, typically 45 minutes per day
304 302 $543.00 $155.14
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
15 12 $461.00 $131.72

Medical Specialties & State Licenses

CMS Verified: 2025-11-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9108390

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

5951 Colonial Dr

Margate, FL 330635661

Phone: 8722313162

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Emily Smith , PA

Physician Assistant

NPI 1003232612

Physician Assistant

Dr. Jessica Bloomgarden , MD

Physical Medicine & Rehabilitation

NPI 1013158427

Doctor of Medicine (M.D.)

Rajdeep Sandhu , FNP-C

Nurse Practitioner - Family

NPI 1013473073

Family Nurse Practitioner (Certified)

Lyncee Barrett , FNP

Nurse Practitioner - Family

NPI 1013483296

Family Nurse Practitioner

Dr. Allison Williams , MD

Physical Medicine & Rehabilitation

NPI 1013967066

Doctor of Medicine (M.D.)

Arpit Kaul

Physical Medicine & Rehabilitation

NPI 1023452430

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location November 21, 2025

Registered at 9711 W OAKLAND PARK BLVD, SUNRISE, FL 333517013 (Tel: 8722313162)

📍
Updated Business Mailing Address November 21, 2025

Registered at PO BOX 22239, NEW YORK, NY 100870001 (Tel: 7028990595)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2025

Physician Assistant (License #PA9108390 in FL)

📍
Updated Practice Location June 06, 2022

Registered at 2724 SW 84TH TER, MIRAMAR, FL 330252962 (Tel: 2033606824)

📍
Updated Business Mailing Address June 06, 2022

Registered at 2724 SW 84TH TER, MIRAMAR, FL 330252962

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2022

Physician Assistant (License #PA9108390 in FL)

NPI Profile Active October 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2014

Registered at 8370 SW 65TH AVE, #1, SOUTH MIAMI, FL 331437972 (Tel: 2033606824)

📍
Updated Business Mailing Address October 17, 2014

Registered at 8370 SW 65TH AVE, #1, SOUTH MIAMI, FL 331437972

👤
Provider Name / Credentials Updated October 17, 2014

Recorded as TADECHER ELLIS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2014

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 17, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891199972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2014
Last Update: November 21, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 22239

New York, NY 100870001

Phone: 7028990595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.