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JESSICA IRENE ELLIGOTT CDCES, MS, RDN, CDN
NPI 1154967461
Registered Nurse - Diabetes Educator in Vancouver, WA

Active since November 21, 2019
88.67/100
CMS Quality Rating
2101 NE 139TH ST STE 460, VANCOUVER, WA 98686(360) 360-4872 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2023, Nov 21, 2019 (2 updates tracked since 2019).

About Jessica Irene Elligott Cdces, Ms, Rdn, Cdn NPPES

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

JESSICA IRENE ELLIGOTT CDCES, MS, RDN, CDN (NPI 1154967461) is an individual diabetes educator provider in Vancouver, Washington, licensed in Washington (DI60596850) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1154967461
Entity TypeIndividualFemale
Primary Taxonomy163WD0400X
Provider Legal NameJESSICA IRENE ELLIGOTTCredential: CDCES, MS, RDN, CDN
Location Address2101 NE 139TH ST STE 460Vancouver, WA 98686-2325
Mailing Address19000 Se 23rd StVancouver, WA 98683-9794 · (360) 601-2580
Phone(360) 360-4872
Sole ProprietorNo
Enumeration DateNovember 21, 2019
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1154967461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
Licenses✔ Licensed in WA · DI60596850✔ Licensed in OR · DI60596850
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License DI60596850 (WA)
2101 NE 139TH ST STE 460, Vancouver, WA 98686
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Irene Elligott Cdces, Ms, Rdn, Cdn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Legacy Salmon Creek Hospital
0.1 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.54
Promoting Interoperability100
Improvement Activities40
Cost70.7

Other Providers at the Same Location NPPES 7

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

SARA SUNDSTROM CDCES, MS, RDN, CDN
Registered Nurse (Diabetes Educator)
2101 NE 139TH ST STE 460
VANCOUVER, WA 98686
Clark County (360) 487-2727
DR. MICHAEL BROOKE PSY.D.
Psychologist (Clinical)
2101 NE 139TH ST STE 460
VANCOUVER, WA 98686
Clark County (360) 487-2727
TREVOR STATEN FNP-C
Nurse Practitioner (Primary Care)
2101 NE 139TH ST STE 460
VANCOUVER, WA 98686
Clark County (360) 487-2727
MRS. MOON V TINAJERO-SIMMALY PA-C
Physician Assistant
2101 NE 139TH ST STE 460
VANCOUVER, WA 98686
Clark County (360) 487-2727
DR. CHARUL SEN M.D
Internal Medicine
2101 NE 139TH ST STE 460
VANCOUVER, WA 98686
Clark County (360) 487-2727
LEGACY SALMON CREEK HOSPITAL
Clinic/Center
2101 NE 139TH ST STE 460
VANCOUVER, WA 98686
Clark County (360) 487-2727
TORAL RAMAIYA MD
Family Medicine
2101 NE 139TH ST STE 460
VANCOUVER, WA 98686
Clark County (360) 487-2727

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 Jessica Elligott's NPI number?

The NPI number for Jessica Elligott is 1154967461. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Jessica Elligott located?

Jessica Elligott practices at 2101 NE 139th St Ste 460, Vancouver, WA 98686. The listed phone number is (360) 360-4872.

What is Jessica Elligott's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Is Jessica Elligott enrolled in Medicare?

Yes. Jessica Elligott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Elligott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Elligott reassigns Medicare benefits to Legacy Salmon Creek Hospital (Vancouver, WA). 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 Jessica Elligott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Elligott accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Jessica Elligott 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 Jessica Elligott was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.