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DR. JONATHAN ELLISON
NPI 1861655581
Urology - Pediatric Urology in Milwaukee, WI

Active since July 02, 2008PECOS Enrolled
80.46/100
CMS Quality Rating
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-3794(414) 266-1752 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2023, Sep 13, 2018 (2 updates tracked since 2018).

About Dr. Jonathan Ellison NPPES

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

DR. JONATHAN ELLISON (NPI 1861655581) is an individual pediatric urology provider in Milwaukee, Wisconsin, licensed in Wisconsin (69623) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1861655581
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDR. JONATHAN ELLISON
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-3794 · Fax (414) 266-1752
Phone(414) 266-3794
Fax(414) 266-1752
Sole ProprietorNo
Enumeration DateJuly 2, 2008
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1861655581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in WI · 69623✔ Licensed in WA · MD60449464
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedSurgeryTaxonomy 208600000X · License 4301092616 (MI)
9000 W WISCONSIN AVE, Milwaukee, WI 53226
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Secondary Practice Location 1

Location 12575 E Evergreen DriveAppleton, WI 54913-8904 · Phone (920) 969-5353 · Fax (414) 337-7201

Other Identifiers 1

Medicaid1861655581WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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. Jonathan Ellison 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 Jonathan Ellison's NPI number?

The NPI number for Jonathan Ellison is 1861655581. It was assigned to this individual provider in the NPPES registry on July 2, 2008.

Where is Jonathan Ellison located?

Jonathan Ellison practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-3794.

What is Jonathan Ellison's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Jonathan Ellison enrolled in Medicare?

Yes. Jonathan Ellison is registered in the Medicare PECOS enrollment system.

What insurance does Jonathan Ellison accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and UnitedHealthcare list Jonathan Ellison 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 Jonathan Ellison was last updated on June 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.