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DR. JESSICA CHRISTINE ELLIS DDS
NPI 1639430440
Dentist - General Practice in Independence, MO

Active since June 07, 2012PECOS Enrolled
12400 E US HIGHWAY 40, INDEPENDENCE, MO 64055(816) 897-5850(816) 897-5851 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2024, Nov 15, 2022, Sep 20, 2022 (3 updates tracked since 2022).

About Dr. Jessica Christine Ellis Dds NPPES

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

DR. JESSICA CHRISTINE ELLIS DDS (NPI 1639430440) is an individual general practice provider in Independence, Missouri, licensed in Missouri (2016001693) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Green Valley.

NPPES Registry Identity

NPI1639430440
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JESSICA CHRISTINE ELLISCredential: DDS
Location Address12400 E US HIGHWAY 40Independence, MO 64055-5929
Mailing Address1221 Ne Beacon AveLees Summit, MO 64086-8454 · (816) 521-1312
Phone(816) 897-5850
Fax(816) 897-5851
Sole ProprietorNo
Enumeration DateJune 7, 2012
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1639430440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2016001693
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.
12400 E US HIGHWAY 40, Independence, MO 64055
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Other Names 1

Former Name (1)Dr. Jessica Christine Watkins Dds

Secondary Practice Location 1

Location 118726 S Nogales Hwy, Suite 100Green Valley, AZ 85614-5878 · Phone (520) 625-4850

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Jessica Christine Ellis Dds 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 64055 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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

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

KATHERINE SUZANNE LEE MD
Family Medicine
12400 E US HIGHWAY 40
INDEPENDENCE, MO 64055
Jackson County (816) 890-9507

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 Jessica Ellis's NPI number?

The NPI number for Jessica Ellis is 1639430440. It was assigned to this individual provider in the NPPES registry on June 7, 2012. The provider is also known as Dr. Jessica Christine Watkins Dds.

Where is Jessica Ellis located?

Jessica Ellis practices at 12400 E Us Highway 40, Independence, MO 64055. The listed phone number is (816) 897-5850.

What is Jessica Ellis's specialty?

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

Is Jessica Ellis enrolled in Medicare?

Yes. Jessica Ellis is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Ellis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Jessica 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 Jessica Ellis was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.