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DR. JONATHAN MATTHEW ELLIS B.S., D.C.
NPI 1083634026
Chiropractor in Man, WV

Active since July 20, 2006

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jonathan Matthew Ellis B.s., D.c. NPPES

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

DR. JONATHAN MATTHEW ELLIS B.S., D.C. (NPI 1083634026) is an individual chiropractor in Man, West Virginia, licensed in West Virginia (823) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1083634026
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. JONATHAN MATTHEW ELLISCredential: B.S., D.C.
Location Address123 MARKET STMan, WV 25635-1216
Mailing Address123 Market StMan, WV 25635-1216 · (304) 688-1204
Phone(304) 688-1204
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1083634026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WV · 823
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
123 MARKET ST, Man, WV 25635
Open in Google Maps ↗

Other Identifiers 12

Other113708911WV · 4-most
Other113708911WV · Peia
Other113708911WV · Mamsi
Other13708911WV · Cigna
Other113708911WV · Accordia
Medicaid3810001425WV
Other1067067WV · Worker's Comp
Other113708911WV · Carelink
Other11378911WV · Starmark
Other001705988WV · Blue Cross/ Blue Sheild
Other113708911WV · Harrington Benefits
Other92064WV · Unicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Matthew Ellis B.s., D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Ellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Logan Mingo Area Mental Health Inc
8.7 mi
Primary Care
174 LMAH CENTER RD
Logan, WV 25601
  • Reassigned Medicare billing, West Virginia enrollment
  • 11 clinicians in this Medicare group
NPI 1427522218 (304) 792-7130

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Ellis's NPI number?

The NPI number for Jonathan Ellis is 1083634026. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Jonathan Ellis located?

Jonathan Ellis practices at 123 Market St, Man, WV 25635. The listed phone number is (304) 688-1204.

What is Jonathan Ellis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Jonathan Ellis enrolled in Medicare?

Yes. Jonathan Ellis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Ellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Ellis reassigns Medicare benefits to Logan Mingo Area Mental Health Inc (Logan, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Ellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Ellis accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia and Providence Health Plan list Jonathan Ellis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Ellis was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.