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ELLIE JANE MAKOUL PA-C
NPI 1790505683
Physician Assistant in Portage, MI

Active since October 15, 2024PECOS EnrolledAccepts Medicare Assignment
3770 GLENKERRY CT, PORTAGE, MI 49024(269) 329-2887 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ellie Jane Makoul Pa-c NPPES

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

ELLIE JANE MAKOUL PA-C (NPI 1790505683) is an individual physician assistant in Portage, Michigan, licensed in Michigan (5601012711) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Southern Illinois University School Of Medicine (2024).

NPPES Registry Identity

NPI1790505683
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELLIE JANE MAKOULCredential: PA-C
Location Address3770 GLENKERRY CTPortage, MI 49024-0700
Mailing Address3770 Glenkerry CtPortage, MI 49024-0700
Phone(269) 329-2887
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2024
Enumeration DateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1790505683 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 · 5601012711
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.
3770 GLENKERRY CT, Portage, MI 49024
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 and accepts Medicare assignment

Ellie Jane Makoul Pa-c 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 ID7012443773
PECOS Enrollment IDI20241205001558
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 5

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Promedica Coldwater Regional Hospital

Acute Care Hospitals · Coldwater, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230022
Location274 E Chicago StColdwater, MI 49036 · Branch County
Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 14

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

MARIA ANNA CSISZAR AGACNP-BC
Nurse Practitioner (Adult Health)
3770 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-2887
MICHAEL DAVID MCCALLISTER
Nurse Practitioner
3770 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-2887
CHARLES GUERNSEY DO
Pain Medicine (Interventional Pain Medicine)
3770 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-2887
STEPHANIE C WILLETT NURSE PRACTITIONER
Nurse Practitioner (Family)
3770 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-2887
MATTHEW LARS KUIPER DO
Pain Medicine (Interventional Pain Medicine)
3770 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-2887
SOUTHERN MICHIGAN PAIN CONSULTANTS PC
Pain Medicine (Interventional Pain Medicine)
3770 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-2887
LISA MARIE MAKUCH PHD
Psychologist (Clinical)
3770 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-2887
JASON RANDALL PSYD
Psychologist (Clinical)
3770 GLENKERRY CT
PORTAGE, MI 49024
Kalamazoo County (269) 329-2887

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 Ellie Makoul's NPI number?

The NPI number for Ellie Makoul is 1790505683. It was assigned to this individual provider in the NPPES registry on October 15, 2024.

Where is Ellie Makoul located?

Ellie Makoul practices at 3770 Glenkerry Ct, Portage, MI 49024. The listed phone number is (269) 329-2887.

What is Ellie Makoul's specialty?

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

Is Ellie Makoul enrolled in Medicare?

Yes. Ellie Makoul 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 Ellie Makoul accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Ellie Makoul 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 Ellie Makoul affiliated with any hospitals?

According to CMS data, Ellie Makoul is affiliated with Bronson Methodist Hospital, Promedica Coldwater Regional Hospital, Bronson Battle Creek Hospital, Borgess Medical Center and Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Ellie Makoul was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.