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MRS. JENNIFER R ELLIS PA
NPI 1255470431
Physician Assistant - Medical in Skokie, IL

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
5230 OLD ORCHARD RD, SKOKIE, IL 60077(800) 807-8787(847) 492-3045 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jennifer R Ellis Pa NPPES

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

MRS. JENNIFER R ELLIS PA (NPI 1255470431) is an individual medical provider in Skokie, Illinois, licensed in Illinois (085001438) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1255470431
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JENNIFER R ELLISCredential: PA
Location Address5230 OLD ORCHARD RDSkokie, IL 60077-1034
Mailing AddressPo Box 4543Carol Stream, IL 60197-4543 · (847) 492-3040 · Fax (847) 492-3045
Phone(800) 807-8787
Fax(847) 492-3045
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJune 29, 2016
✔ NPI 1255470431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085001438
5230 OLD ORCHARD RD, Skokie, IL 60077
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Other Identifiers 1

Medicare UPINQ48881

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

Mrs. Jennifer R Ellis Pa 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 ID749210391
PECOS Enrollment IDI20050815000269
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

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.
89 services26 patients

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.

LIZABETH GOLD RD
Dietitian, Registered
5230 OLD ORCHARD RD
SKOKIE, IL 60077
Cook County (847) 492-3040
MR. KEITH I BLOCK MD
Internal Medicine (Hematology & Oncology)
5230 OLD ORCHARD RD
SKOKIE, IL 60077
Cook County (847) 492-3040
ERIC CHRISTOPHER SHARER MPH, RD, LDN
Dietitian, Registered
5230 OLD ORCHARD RD, C/O BLOCK CENTER FOR INTEGRATIVE CA
SKOKIE, IL 60077
Cook County (847) 492-3040
BRIAN KAMUDA APN-BC
Nurse Practitioner (Adult Health)
5230 OLD ORCHARD RD
SKOKIE, IL 60077
Cook County (847) 328-6632
JACQUELINE TOBINSON GLEW RD
Dietitian, Registered
5230 OLD ORCHARD RD, C/O BLOCK CENTER FOR INTEGRATIVE CANCER TREATMENT
SKOKIE, IL 60077
Cook County (847) 492-3040
KATIE O'KEEFE RD
Dietitian, Registered
5230 OLD ORCHARD RD
SKOKIE, IL 60077
Cook County (847) 492-3040

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 Jennifer Ellis's NPI number?

The NPI number for Jennifer Ellis is 1255470431. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Jennifer Ellis located?

Jennifer Ellis practices at 5230 Old Orchard Rd, Skokie, IL 60077. The listed phone number is (800) 807-8787.

What is Jennifer Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Ellis enrolled in Medicare?

Yes. Jennifer Ellis 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.

When was this NPI record last updated?

The NPPES record for Jennifer Ellis was last updated on June 29, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.