KERRY JAMISON ELLIS
NPI 1114661550
Social Worker - Clinical in Pensacola, FL

Active since April 22, 2022PECOS Enrolled
1120 N PALAFOX ST, PENSACOLA, FL 32501(850) 434-5033 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2025, Apr 22, 2022 (2 updates tracked since 2022).

About Kerry Jamison Ellis NPPES

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

KERRY JAMISON ELLIS (NPI 1114661550) is an individual clinical provider in Pensacola, Florida, licensed in Florida (SW22815) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114661550
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKERRY JAMISON ELLIS
Location Address1120 N PALAFOX STPensacola, FL 32501-2608
Mailing Address2315 W Jackson StPensacola, FL 32505-7552 · (850) 436-4630
Sole ProprietorNo
Enumeration DateApril 22, 2022
Last NPPES UpdateMay 20, 20252 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
NPI 1114661550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW22815
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1120 N PALAFOX ST, Pensacola, FL 32501

Other Identifiers 1

OtherISW17090FL · Registered Clinical Social Work Intern

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kerry Jamison Ellis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32501 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
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 11

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

Psychologist (Clinical)
1120 N PALAFOX ST
PENSACOLA, FL 32501
Social Worker (Clinical)
1120 N PALAFOX ST
PENSACOLA, FL 32501
Counselor (Mental Health)
1120 N PALAFOX ST
PENSACOLA, FL 32501
Psychiatry & Neurology (Psychiatry)
1120 N PALAFOX ST
PENSACOLA, FL 32501
Psychiatry & Neurology (Psychiatry)
1120 N PALAFOX ST
PENSACOLA, FL 32501
Counselor (Mental Health)
1120 N PALAFOX ST
PENSACOLA, FL 32501
Marriage & Family Therapist
1120 N PALAFOX ST
PENSACOLA, FL 32501
Counselor (Mental Health)
1120 N PALAFOX ST
PENSACOLA, FL 32501

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 Kerry Ellis's NPI number?

The NPI number for Kerry Ellis is 1114661550. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Kerry Ellis located?

Kerry Ellis practices at 1120 N Palafox St, Pensacola, FL 32501. The listed phone number is (850) 434-5033.

What is Kerry Ellis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kerry Ellis enrolled in Medicare?

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

What insurance does Kerry Ellis accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Kerry 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 Kerry Ellis was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.