JESSE ELLSWORTH
NPI 1063827582
Emergency Medicine in Saginaw, MI

Q: What is Jesse Ellsworth's NPI number?

The NPI number for Jesse Ellsworth is 1063827582. It was assigned to this individual provider in the NPPES registry on June 23, 2014.

Q: What is Jesse Ellsworth's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Ellsworth was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2014PECOS Enrolled

1000 HOUGHTON AVE, SAGINAW, MI 48602(989) 583-6800 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jesse Ellsworth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE ELLSWORTH (NPI 1063827582) is an individual emergency medicine provider in Saginaw, Michigan, licensed in Michigan (4301106067) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063827582

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJESSE ELLSWORTH

Location Address1000 HOUGHTON AVESaginaw, MI 48602-5303

Mailing Address1000 Houghton AveSaginaw, MI 48602-5303

Phone(989) 583-6800

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJune 23, 2014

✔ NPI 1063827582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 4301106067

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1000 HOUGHTON AVE, Saginaw, MI 48602

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Ellsworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719251933

PECOS Enrollment IDI20170926003090, I20260107002737

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jesse Ellsworth reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tanglewood Park Physicians, PLLC

544 mi

Emergency Medicine

6915 VILLAGE MEDICAL CIR
Clemmons, NC 27012

Reassigned Medicare billing, North Carolina enrollment
159 clinicians in this Medicare group

NPI 1093286379 (336) 893-1000

Kernersville Emergency Group, PLLC

547 mi

Emergency Medicine

1750 KERNERSVILLE MEDICAL PKWY
Kernersville, NC 27284

Reassigned Medicare billing, North Carolina enrollment
158 clinicians in this Medicare group

NPI 1750852034 (336) 564-4000

Piedmont Triad Physicians, PLLC

560 mi

Emergency Medicine

207 OLD LEXINGTON RD
Thomasville, NC 27360

Reassigned Medicare billing, North Carolina enrollment
152 clinicians in this Medicare group

NPI 1295206464 (336) 472-2000

Gastonia Physician Services, PLLC

583 mi

Emergency Medicine

2525 COURT DR
Gastonia, NC 28054

Reassigned Medicare billing, North Carolina enrollment
200 clinicians in this Medicare group

NPI 1316367691 (704) 834-2000

Brunswick Physician Partners, PLLC

717 mi

Emergency Medicine

240 HOSPITAL DR NE
Bolivia, NC 28422

Reassigned Medicare billing, North Carolina enrollment
128 clinicians in this Medicare group

NPI 1457822264 (910) 721-1000

The Makana North Shore Clinic

4,475 mi

Urgent Care

4488 HANALEI PLANTATION RD
Princeville, HI 96722

Reassigned Medicare billing, Hawaii enrollment
52 clinicians in this Medicare group

NPI 1114431632 (808) 320-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

179 services177 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

143 services138 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

141 services90 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340085

Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JERRY XAVIER

Internal Medicine

1000 HOUGHTON AVE, 1100 INTERNAL MEDICINE
SAGINAW, MI 48602

Saginaw County (989) 583-5826

MRS. VERONIKA KINASCHUK M.D.

Obstetrics & Gynecology