Richard G Nellis, PA-C
Physician Assistant in Darien, Connecticut
1649438516- Practice location
- 104 Heights RD # R103, Darien, CT 06820-4119
- Phone
- 888-663-6331
- Fax
- 415-252-7176
- Last updated
- January 26, 2026
Richard Gordon Nellis is a Physician Assistant based in Darien, CT. Richard Gordon Nellis practices in Darien, CT and has the professional credentials of PA-C. The NPI Number for Richard Gordon Nellis is 1649438516 and holds a License No. 005341 (CT). The current practice location address for Richard Gordon Nellis is 104 Heights RD # R103, Darien, CT 06820-4119 and can be reached out via phone at 888-663-6331 and via fax at 415-252-7176.
Provider Profile Details
- NPI Number
- 1649438516
- Provider Name
- Richard Gordon Nellis
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 104 Heights RD # R103, Darien, CT 06820-4119
- Phone Number
- 888-663-6331
- Fax Number
- 415-252-7176
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 28, 2008
- Last Update Date
- January 26, 2026
- Certification Date
- January 26, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 104 Heights RD # R103
Darien, CT 06820-4119 - City
- Darien
- State
- Connecticut
- Zip
- 06820-4119
- Phone Number
- 888-663-6331
- Fax Number
- 415-252-7176
Provider Business Mailing Address Details
- Address
- 20449 Koglin RD
Hutchinson, MN 55350-4332 - City
- Hutchinson
- State
- MN
- Zip
- 55350-4332
- Phone Number
- 612-327-2732
License Information
- License Number (1)
- 005341
- License State (1)
- CT
- Taxonomy (1)
- Physician Assistant · 363A00000X · Primary
- License Number (2)
- 027096
- License State (2)
- NY
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
- License Number (3)
- 10468
- License State (3)
- MN
- Taxonomy (3)
- Physician Assistant, Medical · 363AM0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistants near Darien, CT
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Frequently Asked Questions
What is the NPI number of Richard G Nellis, PA-C?
The NPI number of Richard G Nellis, PA-C is 1649438516. It was assigned on May 28, 2008 and is currently active in the NPPES registry.
What is the specialty of Richard G Nellis, PA-C?
Richard G Nellis, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 005341.
Where does Richard G Nellis, PA-C practice?
The practice location is 104 Heights RD # R103, Darien, CT 06820-4119. The office can be reached at 888-663-6331 (phone) or 415-252-7176 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649438516 directly on the NPPES registry website.