JASON KEITH ELY
NPI 1104595396
Nurse Practitioner - Family in Gulfport, MS
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
10Medicare enrollment records show Jason Ely reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 298 clinicians in this Medicare group
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 65 clinicians in this Medicare group
Bay St Louis, MS 39520
- Reassigned Medicare billing, Mississippi enrollment
- 87 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 450 clinicians in this Medicare group
Wiggins, MS 39577
- Reassigned Medicare billing, Mississippi enrollment
- 24 clinicians in this Medicare group
Pascagoula, MS 39567
- Reassigned Medicare billing, Mississippi enrollment
- 51 clinicians in this Medicare group
Pascagoula, MS 39581
- Reassigned Medicare billing, Mississippi enrollment
- 3 clinicians in this Medicare group
Lucedale, MS 39452
- Reassigned Medicare billing, Mississippi enrollment
- 45 clinicians in this Medicare group
Lucedale, MS 39452
- Reassigned Medicare billing, Mississippi enrollment
- 34 clinicians in this Medicare group
Leakesville, MS 39451
- Reassigned Medicare billing, Mississippi enrollment
- 37 clinicians in this Medicare group
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 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.
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, MSPhysician 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.
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.
GULFPORT, MS 39503
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.
Which organizations bill Medicare for Jason Ely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Ely reassigns Medicare benefits to 10 organizations: Singing River Gulfport (Gulfport, MS), Orange Grove Urgent Care (Gulfport, MS), Hancock Emergency Group LLC (Bay St Louis, MS), Singing River Health System (Ocean Springs, MS), Wiggins Primary Care (Wiggins, MS) and 5 more organizations, listed in the Medicare section above. Each 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 Jason Ely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Ely accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, 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.
# Jason Keith Ely · NPI 1104595396
Family physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since September 10, 2021.
## Identity
- **NPI:** 1104595396 (Entity type: Individual)
- **Enumerated:** September 10, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 9048725 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15190 COMMUNITY RD STE 260, Gulfport, MS 39503-3471
- **Phone:** (228) 762-4483 · **Fax:** (228) 762-3147
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Singing River Gulfport (NPI 1861010159, Gulfport, MS); Orange Grove Urgent Care (NPI 1831330661, Gulfport, MS); Hancock Emergency Group LLC (NPI 1295142396, Bay St Louis, MS); Singing River Health System (NPI 1053528109, Ocean Springs, MS); Wiggins Primary Care (NPI 1740293257, Wiggins, MS); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** May 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1104595396) · Data from the CMS NPPES public registry.