JUSTIN MICHAEL ELLISON
NPI 1245688928
Nurse Practitioner in Chattanooga, TN

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421(423) 495-4349(423) 495-4934 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Sep 11, 2024, Aug 10, 2023 and 3 more (6 updates tracked since 2016).

About Justin Michael Ellison NPPES

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

JUSTIN MICHAEL ELLISON (NPI 1245688928) is an individual nurse practitioner in Chattanooga, Tennessee, licensed in South Dakota (CP003314) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Vanderbilt University School Of Medicine (2016).

NPPES Registry Identity

NPI1245688928
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJUSTIN MICHAEL ELLISON
Location Address1949 GUNBARREL RD STE 206Chattanooga, TN 37421-7133
Mailing Address800 Bradbury Dr Se Ste 116Albuquerque, NM 87106-4310 · (505) 272-1476
Fax(423) 495-4934
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2016
Enumeration DateJune 2, 2016
Last NPPES UpdateMarch 17, 20256 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
NPI 1245688928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in SD · CP003314 Licensed in WA · N360677930 Licensed in NM · 60350 Licensed in TN · 31438
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 9344794 (FL), 196881 (TN)
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 31438 (TN)
1949 GUNBARREL RD STE 206, Chattanooga, TN 37421

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 and accepts Medicare assignment

Justin Michael Ellison 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 ID3274820717
PECOS Enrollment IDI20201006002654
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.

Hospital Affiliations CMS Care Compare

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

Unm Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number320001
Location2211 Lomas Boulevard NEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Surgery
1949 GUNBARREL RD STE 206
CHATTANOOGA, TN 37421
Pain Medicine (Interventional Pain Medicine)
1949 GUNBARREL RD STE 206
CHATTANOOGA, TN 37421

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 Justin Ellison's NPI number?

The NPI number for Justin Ellison is 1245688928. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Justin Ellison located?

Justin Ellison practices at 1949 Gunbarrel Rd Ste 206, Chattanooga, TN 37421. The listed phone number is (423) 495-4349.

What is Justin Ellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Justin Ellison enrolled in Medicare?

Yes. Justin 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 Justin Ellison accept?

Health plans from Avera Health Plans and Medica list Justin 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 Justin Ellison affiliated with any hospitals?

According to CMS data, Justin Ellison is affiliated with Unm Hospital.

When was this NPI record last updated?

The NPPES record for Justin Ellison was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.