1. Home
  2. Directory
  3. Utah
  4. Provo
  5. Social Worker
  6. NPI Profile

MR. JESSE WREN ELLIS LCSW
NPI 1487165932
Social Worker - Clinical in Provo, UT

Active since October 23, 2017PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jesse Wren Ellis Lcsw NPPES

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

MR. JESSE WREN ELLIS LCSW (NPI 1487165932) is an individual clinical provider in Provo, Utah, licensed in Utah (7748699-3501) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1487165932
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JESSE WREN ELLISCredential: LCSW
Location Address1157 N 300 WProvo, UT 84604-6124
Mailing Address1034 N 500 WProvo, UT 84604-3380 · (801) 357-8108 · Fax (801) 373-9941
Phone(801) 357-7525
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 23, 2017
✔ NPI 1487165932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 7748699-3501
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1157 N 300 W, Provo, UT 84604
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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

Mr. Jesse Wren Ellis Lcsw 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 ID1658631999
PECOS Enrollment IDI20180207001171
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 84604 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 20

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

DR. MATTHEW CRAIG EVANS M.D.
Family Medicine (Sports Medicine)
1157 N 300 W, #201
PROVO, UT 84604
Utah County (801) 581-2000
DR. STEPHEN PETERS PSYD
Psychiatry & Neurology (Clinical Neurophysiology)
1157 N 300 W
PROVO, UT 84604
Utah County (801) 357-1200
DR. TREVOR SHELTON M.D.
Orthopaedic Surgery (Sports Medicine)
1157 N 300 W
PROVO, UT 84604
Utah County (801) 357-1200
AMANDA JEAN CLUFF
Physical Therapist
1157 N 300 W
PROVO, UT 84604
Utah County (801) 357-1250
DANIEL MYERS
Physical Therapist
1157 N 300 W
PROVO, UT 84604
Utah County (801) 357-1250
CHLOE BROOK ATC, MSAT
Specialist/Technologist (Athletic Trainer)
1157 N 300 W
PROVO, UT 84604
Utah County (801) 357-7850
MATTHEW K. MONEY MD
Otolaryngology
1157 N 300 W, SUITE 301
PROVO, UT 84604
Utah County (801) 357-4460
ERIC LEE DPT
Physical Therapist
1157 N 300 W
PROVO, UT 84604
Utah County (801) 357-1250

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 Jesse Ellis's NPI number?

The NPI number for Jesse Ellis is 1487165932. It was assigned to this individual provider in the NPPES registry on October 23, 2017.

Where is Jesse Ellis located?

Jesse Ellis practices at 1157 N 300 W, Provo, UT 84604. The listed phone number is (801) 357-7525.

What is Jesse Ellis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jesse Ellis enrolled in Medicare?

Yes. Jesse 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.

What insurance does Jesse Ellis accept?

Health plans from Select Health list Jesse Ellis 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.

When was this NPI record last updated?

The NPPES record for Jesse Ellis was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.