JEAN MARIE LARAMORE ELLIS PA-C
NPI 1356362404
Physician Assistant in Statesville, NC

Active since July 22, 2006PECOS EnrolledAccepts Medicare Assignment
76.55/100
CMS Quality Rating
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625(704) 838-8210(704) 838-8209 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jean Marie Laramore Ellis Pa-c NPPES

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

JEAN MARIE LARAMORE ELLIS PA-C (NPI 1356362404) is an individual physician assistant in Statesville, North Carolina, licensed in North Carolina (103578) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1356362404
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJEAN MARIE LARAMORE ELLISCredential: PA-C
Location Address208 OLD MOCKSVILLE RDStatesville, NC 28625-1930
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 873-4277 · Fax (704) 873-4511
Fax(704) 838-8209
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 22, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1356362404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103578
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

208 OLD MOCKSVILLE RD, Statesville, NC 28625

Other Identifiers 2

Medicare ID-Type Unspecified2757094
Medicare UPINP78932

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

Jean Marie Laramore Ellis Pa-c 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 ID547253866
PECOS Enrollment IDI20181112002354
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
332 services65 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
181 services144 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
96 services84 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
83 services70 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
72 services63 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

76.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.46
Improvement Activities40
Cost67.89

Other Providers at the Same Location NPPES 20

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

Internal Medicine
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Surgery
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Internal Medicine
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Obstetrics & Gynecology
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Internal Medicine (Gastroenterology)
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Ophthalmology
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Nurse Practitioner
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625
Pedorthist
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625

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 Jean Laramore Ellis's NPI number?

The NPI number for Jean Laramore Ellis is 1356362404. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Jean Laramore Ellis located?

Jean Laramore Ellis practices at 208 Old Mocksville Rd, Statesville, NC 28625. The listed phone number is (704) 838-8210.

What is Jean Laramore Ellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jean Laramore Ellis enrolled in Medicare?

Yes. Jean Laramore 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 Jean Laramore Ellis was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.