NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Patrice C Ellingson, O.D.

Optometrist in Fort Wayne, IN · enumerated 2005 · practices at Fort Wayne Family Eyecare.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639163884

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Dr. Patrice C Ellingson
Credential O.D.
Sex Female
Practice address 1515 E Paulding Rd, Fort Wayne, IN, 46816
Phone (260) 744-2273
Fax (260) 744-4555
Enumeration date Sep 2, 2005
Last updated in NPPES Aug 15, 2018

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 18002448 (IN) Primary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
000000243494 Other IN ANTHEM NONPAR
100411890 Medicaid IN -
100411890A Medicaid IN -
410017027 Other IN MEDICARE RR
410040819 Other IN MEDICARE RR

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Patrice Ellingson?
Patrice Ellingson is registered in NPPES with the primary taxonomy of Optometrist. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-08-15.