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DR. JAMES M ELLISON MD
NPI 1144226630
Psychiatry & Neurology - Geriatric Psychiatry in Wilmington, DE

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
501 W 14TH ST, SWANK MEMORY CARE CENTER, GATEWAY BLDG, 5TH FLOOR, WILMINGTON, DE 19801(302) 320-2637(844) 634-0254 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2023, Aug 15, 2016 (2 updates tracked since 2016).

About Dr. James M Ellison Md NPPES

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

DR. JAMES M ELLISON MD (NPI 1144226630) is an individual geriatric psychiatry provider in Wilmington, Delaware, licensed in Delaware (C-0011443) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of University Of California, San Francisco School Of Medicine (1978).

NPPES Registry Identity

NPI1144226630
Entity TypeIndividualMale
Primary Taxonomy2084P0805X
Provider Legal NameDR. JAMES M ELLISONCredential: MD
Location Address501 W 14TH ST, SWANK MEMORY CARE CENTER, GATEWAY BLDG, 5TH FLOORWilmington, DE 19801-1013
Mailing Address501 W 14th St, Swank Memory Care Center, Gateway Bldg 5th FloorWilmington, DE 19801-1013 · (302) 320-2637 · Fax (844) 634-0254
Phone(302) 320-2637
Fax(844) 634-0254
Sole ProprietorYes
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1978
Enumeration DateJune 21, 2005
Last NPPES UpdateMay 25, 20232 updates tracked since enumeration
NPPES CertifiedMay 25, 2023
✔ NPI 1144226630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Geriatric PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0805X
Licenses✔ Licensed in DE · C-0011443✔ Licensed in MA · 44908
Definition
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 44908 (MA)
501 W 14TH ST, Wilmington, DE 19801
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Other Identifiers 1

Medicaid0164127MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Dr. James M Ellison Md 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 ID4789649161
PECOS Enrollment IDI20230627002000
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 6

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.
285 services115 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
83 services83 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.
82 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services40 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
38 services33 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19801 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
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

CHRISTIANA CARE HEALTH SERVICES, INC
Rehabilitation Unit
501 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 623-7000
TERRY L HORTON MD
Internal Medicine
501 W 14TH ST, ROOM 5236
WILMINGTON, DE 19801
New Castle County (302) 428-4574
MR. KRISTOPHER STARR APN
Nurse Practitioner (Family)
501 W 14TH ST, EMERGENCY DEPARTMENT
WILMINGTON, DE 19801
New Castle County (302) 320-4180
REGAN LEE MASSEY
Student in an Organized Health Care Education/Training Program
501 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 733-1000
MS. GINGER LYNNE COWELL NP
Nurse Practitioner
501 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 320-4410
DR. MELISSA D. MORGAN-GOUVEIA MD
Internal Medicine
501 W 14TH ST, WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE
WILMINGTON, DE 19801
New Castle County (302) 428-4411
MS. KATHRYN MARGARET CURTIS NP
Nurse Practitioner (Adult Health)
501 W 14TH ST, WILMINGTON HOSPITAL RM 2244
WILMINGTON, DE 19801
New Castle County (302) 428-2285
YOUSEF SHEIKH
Student in an Organized Health Care Education/Training Program
501 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 733-1000

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 James Ellison's NPI number?

The NPI number for James Ellison is 1144226630. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is James Ellison located?

James Ellison practices at 501 W 14th St Swank Memory Care Center, Gateway Bldg, 5th Floor, Wilmington, DE 19801. The listed phone number is (302) 320-2637.

What is James Ellison's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Geriatric Psychiatry, with taxonomy code 2084P0805X.

Is James Ellison enrolled in Medicare?

Yes. James Ellison 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 James Ellison accept?

Health plans from Harvard Pilgrim Health Care list James Ellison 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 James Ellison affiliated with any hospitals?

According to CMS data, James Ellison is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for James Ellison was last updated on May 25, 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.