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JASON KEITH ELY
NPI 1104595396
Nurse Practitioner - Family in Gulfport, MS

Active since September 10, 2021PECOS EnrolledAccepts Medicare Assignment
15190 COMMUNITY RD STE 260, GULFPORT, MS 39503(228) 762-4483(228) 762-3147 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2022, Dec 16, 2021, Sep 10, 2021 (3 updates tracked since 2021).

About Jason Keith Ely NPPES

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

JASON KEITH ELY (NPI 1104595396) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (9048725) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Singing River Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1104595396
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJASON KEITH ELY
Location Address15190 COMMUNITY RD STE 260Gulfport, MS 39503-3471
Mailing Address2101 Highway 90Gautier, MS 39553-5340 · (228) 497-7576 · Fax (228) 497-8869
Phone(228) 762-4483
Fax(228) 762-3147
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 10, 2021
Last NPPES UpdateMay 2, 20223 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1104595396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 9048725
15190 COMMUNITY RD STE 260, Gulfport, MS 39503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Keith Ely is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082002548
PECOS Enrollment IDI20211102002819
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Singing River Health System

Acute Care Hospitals · Pascagoula, MS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250040
Location2809 Denny AvenuePascagoula, MS 39581 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39503 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 4

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

SALLY M PROFFITT FNP-C
Nurse Practitioner (Family)
15190 COMMUNITY RD STE 260
GULFPORT, MS 39503
Harrison County (228) 575-7290
RICHARD MCMULLAN NP
Nurse Practitioner (Acute Care)
15190 COMMUNITY RD STE 260
GULFPORT, MS 39503
Harrison County (228) 575-8020
DR. JOHN JACOBS HALL M.D.
Surgery
15190 COMMUNITY RD STE 260
GULFPORT, MS 39503
Harrison County (228) 762-4483
DR. CHERIE CHAMPAGNE M.D.
Internal Medicine (Interventional Cardiology)
15190 COMMUNITY RD STE 260
GULFPORT, MS 39503
Harrison County (228) 575-8020

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 Jason Ely's NPI number?

The NPI number for Jason Ely is 1104595396. It was assigned to this individual provider in the NPPES registry on September 10, 2021.

Where is Jason Ely located?

Jason Ely practices at 15190 Community Rd Ste 260, Gulfport, MS 39503. The listed phone number is (228) 762-4483.

What is Jason Ely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jason Ely enrolled in Medicare?

Yes. Jason Ely is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jason Ely accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Jason Ely 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.

Is Jason Ely affiliated with any hospitals?

According to CMS data, Jason Ely is affiliated with Singing River Health System.

When was this NPI record last updated?

The NPPES record for Jason Ely was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.