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JESSICA ELIZABETH EZELL DO
NPI 1942943964
Pediatrics in Shelby Twp, MI

Active since April 18, 2022PECOS Enrolled
15125 22 MILE RD, SHELBY TWP, MI 48315(586) 532-0599 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Apr 18, 2022 (2 updates tracked since 2022).

About Jessica Elizabeth Ezell Do NPPES

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

JESSICA ELIZABETH EZELL DO (NPI 1942943964) is an individual pediatrics provider in Shelby Twp, Michigan, licensed in Michigan (5101028683) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942943964
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJESSICA ELIZABETH EZELLCredential: DO
Location Address15125 22 MILE RDShelby Twp, MI 48315-4406
Mailing Address46649 Greenbriar DrChesterfield, MI 48051-2872 · (586) 292-0181
Phone(586) 532-0599
Sole ProprietorNo
Enumeration DateApril 18, 2022
Last NPPES UpdateJune 11, 20252 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
✔ NPI 1942943964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 5101028683
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15125 22 MILE RD, Shelby Twp, MI 48315
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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, Priority Health 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)

Jessica Elizabeth Ezell Do 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 48315 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 15

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

THOMAS JOHN ZAHARI
Pediatrics
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-0599
KATHERINE JEAN VALMORES YULO M.D.
Pediatrics
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-0599
SHELBY PEDIATRIC ASSOCIATES AND CHILD LUNG CENTER PC
Pediatrics
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-0599
DR. GIDEON OKARI NYAKUNDI MD
Pediatrics
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-0599
JESSICA MARIE MCCARTHY C.R.N.P.
Nurse Practitioner (Pediatrics)
15125 22 MILE RD
SHELBY TWP, MI 48315
Macomb County (586) 532-0599
MRS. KELLY LYNN DOBRZENIECKI NP-C
Nurse Practitioner (Family)
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-0599
DR. LEONIDAS P MOSCHOURIS MD
Pediatrics
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-0599
PAULINA MULTHAUPT
Psychologist (Clinical)
15125 22 MILE RD
SHELBY TOWNSHIP, MI 48315
Macomb County (586) 532-0599

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 Jessica Ezell's NPI number?

The NPI number for Jessica Ezell is 1942943964. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Jessica Ezell located?

Jessica Ezell practices at 15125 22 Mile Rd, Shelby Twp, MI 48315. The listed phone number is (586) 532-0599.

What is Jessica Ezell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jessica Ezell enrolled in Medicare?

Yes. Jessica Ezell is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Ezell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Jessica Ezell 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 Jessica Ezell was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.