DR. JOHN BLAISE ELLERY III MD
NPI 1962039511
Family Medicine in Sequim, WA
About Dr. John Blaise Ellery Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN BLAISE ELLERY III MD (NPI 1962039511) is an individual family medicine provider in Sequim, Washington, licensed in Washington (MD61439050) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Dr. John Blaise Ellery Iii Md 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harrison Medical Center
Acute Care Hospitals · Bremerton, WAOlympic Medical Center
Acute Care Hospitals · Port Angeles, WAJefferson Healthcare
Critical Access Hospitals · Port Townsend, WAForks Community Hospital
Critical Access Hospitals · Forks, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98382 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SEQUIM, WA 98382
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 John Ellery's NPI number?
The NPI number for John Ellery is 1962039511. It was assigned to this individual provider in the NPPES registry on March 24, 2020.
Where is John Ellery located?
John Ellery practices at 808 N 5th Ave, Sequim, WA 98382. The listed phone number is (360) 683-5900.
What is John Ellery's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Ellery enrolled in Medicare?
Yes. John Ellery 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 John Ellery accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list John Ellery 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 John Ellery affiliated with any hospitals?
According to CMS data, John Ellery is affiliated with Harrison Medical Center, Olympic Medical Center, Jefferson Healthcare and Forks Community Hospital.
When was this NPI record last updated?
The NPPES record for John Ellery was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. John Blaise Ellery III, MD · NPI 1962039511
Family Medicine physician in Sequim, Washington. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1962039511 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD61439050 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 808 N 5TH AVE, Sequim, WA 98382-3045
- **Phone:** (360) 683-5900 · **Fax:** (360) 582-4800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2020
## Record status
- **NPPES last updated:** April 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1962039511) · Data from the CMS NPPES public registry.