JILL MARIE ELLIS P.A.
NPI 1720052483
Physician Assistant in Troy, MI

Active since February 17, 2006PECOS Enrolled
4967 CROOKS RD STE 130, TROY, MI 48098(248) 952-1601(248) 952-0192 Get Directions Write a Review

NPPES record last updated: November 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill Marie Ellis P.a. NPPES

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

JILL MARIE ELLIS P.A. (NPI 1720052483) is an individual physician assistant in Troy, Michigan, licensed in Michigan (5601003809) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720052483
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJILL MARIE ELLISCredential: P.A.
Location Address4967 CROOKS RD STE 130Troy, MI 48098-5812
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000
Fax(248) 952-0192
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateNovember 15, 2013
NPI 1720052483 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 MI · 5601003809
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.
4967 CROOKS RD STE 130, Troy, MI 48098

Other Names 1

Former Name (1)Jill Marie Visser

Other Identifiers 3

Medicare UPINP58193
Medicare PINP14500005
Medicare PINN48650008

Accepted 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)

Jill Marie Ellis P.a. 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 48098 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 2

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

Nurse Practitioner
4967 CROOKS RD STE 130
TROY, MI 48098
Internal Medicine
4967 CROOKS RD STE 130
TROY, MI 48098

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 Jill Ellis's NPI number?

The NPI number for Jill Ellis is 1720052483. It was assigned to this individual provider in the NPPES registry on February 17, 2006. The provider is also known as Jill Marie Visser.

Where is Jill Ellis located?

Jill Ellis practices at 4967 Crooks Rd Ste 130, Troy, MI 48098. The listed phone number is (248) 952-1601.

What is Jill Ellis's specialty?

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

Is Jill Ellis enrolled in Medicare?

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

What insurance does Jill Ellis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jill 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 Jill Ellis was last updated on November 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.