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MR. SHAWN ARCHIE ELLIS NP
NPI 1932908431
Nurse Practitioner - Acute Care in Jackson, MI

Active since March 10, 2025PECOS Enrolled
1780 E PARNALL RD, JACKSON, MI 49201(517) 780-6357 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Shawn Archie Ellis Np NPPES

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

MR. SHAWN ARCHIE ELLIS NP (NPI 1932908431) is an individual acute care provider in Jackson, Michigan, licensed in Michigan (4704362684) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932908431
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. SHAWN ARCHIE ELLISCredential: NP
Location Address1780 E PARNALL RDJackson, MI 49201-7136
Mailing Address1780 E Parnall RdJackson, MI 49201-7136 · (517) 780-6357
Phone(517) 780-6357
Sole ProprietorYes
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1932908431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704362684
1780 E PARNALL RD, Jackson, MI 49201
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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)

Mr. Shawn Archie Ellis Np 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 49201 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 4

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

NUMA P. CABRERA M.D.
Clinic/Center (Adult Mental Health)
1780 E PARNALL RD
JACKSON, MI 49201
Jackson County (517) 780-6722
PHS OF MICHIGAN PC
Clinic/Center
1780 E PARNALL RD, PARNALL CORRECTION FACILITY- MEDICAL CLINIC
JACKSON, MI 49201
Jackson County (517) 780-6393
SAJJAD HUSSAIN MD
Internal Medicine
1780 E PARNALL RD, PARNALL CORRECTION FACILITY - HEALTH CARE CENTER
JACKSON, MI 49201
Jackson County (517) 780-6393
MISS PRIMA MARDHATILLAH MUZIRMAN NP
Nurse Practitioner (Family)
1780 E PARNALL RD
JACKSON, MI 49201
Jackson County (517) 780-6004

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 Shawn Ellis's NPI number?

The NPI number for Shawn Ellis is 1932908431. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Shawn Ellis located?

Shawn Ellis practices at 1780 E Parnall Rd, Jackson, MI 49201. The listed phone number is (517) 780-6357.

What is Shawn Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shawn Ellis enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shawn Ellis was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.