JESICA LYN ELLISON FNP-C - NPI 1194242636 - Nurse Practitioner in Gainesville, GA

Q: What is Jesica Ellison's NPI number?

The NPI number for Jesica Ellison is 1194242636. It was assigned to this individual provider in the NPPES registry on August 25, 2017.

Q: What is Jesica Ellison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jesica Ellison was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jesica Lyn Ellison Fnp-c NPPES

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

JESICA LYN ELLISON FNP-C (NPI 1194242636) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN232412) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194242636

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESICA LYN ELLISONCredential: FNP-C

Location Address2335 LIMESTONE OVERLOOKGainesville, GA 30501-7443

Mailing Address2335 Limestone OverlookGainesville, GA 30501-7443 · (770) 297-0356 · Fax (770) 297-7564

Phone(770) 297-0356

Fax(770) 297-7564

Sole ProprietorNo

Enumeration DateAugust 25, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1194242636 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 GA · RN232412

2335 LIMESTONE OVERLOOK, Gainesville, GA 30501

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesica Lyn Ellison Fnp-c 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 30501 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 6

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

JOHN C JAQUES P.A.

Physician Assistant (Medical)