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DR. ELLIS BURKE JARDINE D.M.D.
NPI 1922205715
Dentist - Oral and Maxillofacial Surgery in Vancouver, WA

Active since June 27, 2007PECOS Enrolled
406C SE 131ST AVENUE, SUITE 305, VANCOUVER, WA 98683(360) 253-9792 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 7, 2023, Nov 15, 2021, Sep 28, 2015 (3 updates tracked since 2015).

About Dr. Ellis Burke Jardine D.m.d. NPPES

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

DR. ELLIS BURKE JARDINE D.M.D. (NPI 1922205715) is an individual oral and maxillofacial surgery provider in Vancouver, Washington, licensed in Washington (DE60339865) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922205715
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ELLIS BURKE JARDINECredential: D.M.D.
Location Address406C SE 131ST AVENUE, SUITE 305Vancouver, WA 98683-4003
Mailing Address3542 Ne Franklin StCamas, WA 98607-6904 · (480) 862-3185
Phone(360) 253-9792
Sole ProprietorYes
Enumeration DateJune 27, 2007
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedNovember 15, 2021
✔ NPI 1922205715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in WA · DE60339865
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 7240 (AZ)
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 27917 (TX), DE 60339865 (WA), 9441 (TN)
406C SE 131ST AVENUE, Vancouver, WA 98683
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ellis Burke Jardine D.m.d. 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 Billing Reassignment

Medicare enrollment records show Ellis Jardine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ellis Jardine, Dmd, PLLC
11 mi
Prosthodontics
1401 NW 1ST ST STE 120
Battle Ground, WA 98604
  • Reassigned Medicare billing, Washington enrollment
NPI 1831558907 (360) 666-5700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98683 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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 Ellis Jardine's NPI number?

The NPI number for Ellis Jardine is 1922205715. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Ellis Jardine located?

Ellis Jardine practices at 406C SE 131st Avenue Suite 305, Vancouver, WA 98683. The listed phone number is (360) 253-9792.

What is Ellis Jardine's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Ellis Jardine enrolled in Medicare?

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

Which organization bills Medicare for Ellis Jardine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ellis Jardine reassigns Medicare benefits to Ellis Jardine, Dmd, PLLC (Battle Ground, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ellis Jardine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ellis Jardine accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 3 other insurers list Ellis Jardine 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 Ellis Jardine was last updated on March 7, 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.