DR. DIANA HWEI-ANN JAN ELLIS D.D.S. - NPI 1255424214

Q: What is Diana Ellis's NPI number?

The NPI number for Diana Ellis is 1255424214. It was assigned to this individual provider in the NPPES registry on October 2, 2006. The provider is also known as Dr. Diana Hwei-Ann Jan-Ellis D.D.S..

Q: What is Diana Ellis's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

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

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About Dr. Diana Hwei-ann Jan Ellis D.d.s. NPPES

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

DR. DIANA HWEI-ANN JAN ELLIS D.D.S. (NPI 1255424214) is an individual general practice provider in Jackson, Michigan, licensed in Michigan (DJ018840) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255424214

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DIANA HWEI-ANN JAN ELLISCredential: D.D.S.

Location Address500 N JACKSON STJackson, MI 49201-1223

Mailing Address505 N Jackson StJackson, MI 49201-1266 · (517) 748-5500 · Fax (517) 780-9286

Phone(517) 748-5500

Fax(517) 780-9286

Sole ProprietorNo

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1255424214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · DJ018840

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

500 N JACKSON ST, Jackson, MI 49201

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Other Names 1

Former Name (1)Dr. Diana Hwei-ann Jan-ellis D.d.s.

Other Identifiers 3

Medicaid744718389MI

Other88131MI · Delta Dental Provider Num

OtherD801057MI · Bcbs Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Dr. Diana Hwei-ann Jan Ellis D.d.s. 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 49201 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 7

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

CHIA-EN TSAI

Dentist (Pediatric Dentistry)