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DR. JACQUELINE ANN ELLISON DNP, ARNP, FNP-C
NPI 1437766201
Nurse Practitioner - Family in Storm Lake, IA

Active since September 25, 2020PECOS Enrolled
2015 W 5TH ST, STORM LAKE, IA 50588(712) 732-6650(712) 732-6632 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 5, 2023, Oct 8, 2020, Sep 25, 2020 (3 updates tracked since 2020).

About Dr. Jacqueline Ann Ellison Dnp, Arnp, Fnp-c NPPES

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

DR. JACQUELINE ANN ELLISON DNP, ARNP, FNP-C (NPI 1437766201) is an individual family provider in Storm Lake, Iowa, licensed in Iowa (A160841) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1437766201
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. JACQUELINE ANN ELLISONCredential: DNP, ARNP, FNP-C
Location Address2015 W 5TH STStorm Lake, IA 50588-3000
Mailing Address2015 W 5th StStorm Lake, IA 50588-3000 · (712) 732-6650 · Fax (712) 732-6632
Phone(712) 732-6650
Fax(712) 732-6632
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 25, 2020
Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
✔ NPI 1437766201 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 IA · A160841
2015 W 5TH ST, Storm Lake, IA 50588
Open in Google Maps ↗

Other Names 1

Former Name (1)Jacqueline Ann Brungardt

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Medica.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. Jacqueline Ann Ellison Dnp, Arnp, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153741533
PECOS Enrollment IDI20201023002644
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 4

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160016
Location802 Kenyon RdFort Dodge, IA 50501 · Webster County
Emergency services Birthing friendly

Cherokee Regional Medical Center

Critical Access Hospitals · Cherokee, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161362
Location300 Sioux Valley DriveCherokee, IA 51012 · Cherokee County
Emergency services Birthing friendly

Loring Hospital

Critical Access Hospitals · Sac City, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161370
Location211 Highland Avenue PO Box 217Sac City, IA 50583 · Sac County

Buena Vista Regional Medical Center

Critical Access Hospitals · Storm Lake, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number161375
Location1525 West 5th StreetStorm Lake, IA 50588 · Buena Vista County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50588 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 8

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

JOAN M NILLES MD
Family Medicine
2015 W 5TH ST
STORM LAKE, IA 50588
Buena Vista County (712) 732-6650
DR. LISA A SHEPHERD M.D.
Family Medicine
2015 W 5TH ST
STORM LAKE, IA 50588
Buena Vista County (712) 732-5030
BLAKE WILLIAM LUY
Nurse Practitioner (Family)
2015 W 5TH ST
STORM LAKE, IA 50588
Buena Vista County (712) 732-6650
JASON A. HUISENGA D.O.
Family Medicine
2015 W 5TH ST
STORM LAKE, IA 50588
Buena Vista County (712) 732-6650
KRISTIN KAY CEDAR ARNP
Nurse Practitioner (Family)
2015 W 5TH ST
STORM LAKE, IA 50588
Buena Vista County (712) 732-6650
TIMOTHY DANIELS MD
Family Medicine
2015 W 5TH ST
STORM LAKE, IA 50588
Buena Vista County (712) 732-6650
ELIZABETH JOY DUPIC M.D.
Family Medicine
2015 W 5TH ST
STORM LAKE, IA 50588
Buena Vista County (712) 732-6650
TRINITY REGIONAL MEDICAL CENTER
Clinic/Center (Rural Health)
2015 W 5TH ST
STORM LAKE, IA 50588
Buena Vista County (712) 732-6650

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 Jacqueline Ellison's NPI number?

The NPI number for Jacqueline Ellison is 1437766201. It was assigned to this individual provider in the NPPES registry on September 25, 2020. The provider is also known as Jacqueline Ann Brungardt.

Where is Jacqueline Ellison located?

Jacqueline Ellison practices at 2015 W 5th St, Storm Lake, IA 50588. The listed phone number is (712) 732-6650.

What is Jacqueline Ellison's specialty?

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

Is Jacqueline Ellison enrolled in Medicare?

Yes. Jacqueline Ellison is registered in the Medicare PECOS enrollment system.

What insurance does Jacqueline Ellison accept?

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

According to CMS data, Jacqueline Ellison is affiliated with Trinity Regional Medical Center, Cherokee Regional Medical Center, Loring Hospital and Buena Vista Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Ellison was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.