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JORDAN ELLIS
NPI 1720654544
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since June 02, 2021PECOS Enrolled
1500 E MEDICAL CENTER DRIVE, UH B1D530, SPC 5030, ANN ARBOR, MI 48109(734) 615-4924 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Ellis NPPES

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

JORDAN ELLIS (NPI 1720654544) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351047774) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720654544
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN ELLIS
Location Address1500 E MEDICAL CENTER DRIVE, UH B1D530, SPC 5030Ann Arbor, MI 48109-5030
Mailing Address1500 E Medical Center Drive, Uh B1d530, Spc 5030Ann Arbor, MI 48109-5030 · (734) 615-4924
Phone(734) 615-4924
Sole ProprietorNo
Enumeration DateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1720654544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351047774
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E MEDICAL CENTER DRIVE, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Ellis 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.

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.

MEGHAN HORN M.D.
Anesthesiology
1500 E MEDICAL CENTER DRIVE, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
KEERTHI BURGI MD
Student in an Organized Health Care Education/Training Program
1500 E MEDICAL CENTER DRIVE, SPC 5331
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738
ASMA NUSRAT M.D.
Pathology (Anatomic Pathology)
1500 E MEDICAL CENTER DRIVE, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109
Washtenaw County (800) 862-7284
MONICA G BARRY APRN,NP
Nurse Practitioner
1500 E MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000
KYLEE E PHILLIPS MD
Emergency Medicine
1500 E MEDICAL CENTER DRIVE, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Washtenaw County (734) 936-6666
RENEE ANN SHEA CRNA
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DRIVE, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
ABHINAV NAFDAY
Emergency Medicine
1500 E MEDICAL CENTER DRIVE
ANN ARBOR, MI 48109
Washtenaw County (734) 763-7919
BARBARA ROSE VAN KAINEN CNM
Advanced Practice Midwife
1500 E MEDICAL CENTER DRIVE, VON VOIGTLANDER WOMEN'S HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4000

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 Jordan Ellis's NPI number?

The NPI number for Jordan Ellis is 1720654544. It was assigned to this individual provider in the NPPES registry on June 2, 2021.

Where is Jordan Ellis located?

Jordan Ellis practices at 1500 E Medical Center Drive Uh B1d530, Spc 5030, Ann Arbor, MI 48109. The listed phone number is (734) 615-4924.

What is Jordan Ellis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jordan Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jordan Ellis was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.