Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255395612 Individual Practitioner Female Practitioner

Dr. Jolene Ellis , MD

Pediatrics • Jackson, MI

Professional Overview & Biography Verified Profile Summary

Dr. Jolene Ellis, MD is a registered healthcare professional specializing in Pediatrics in Jackson, MI. Practice services are available at 760 W FRANKLIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

760 W Franklin St

Jackson, MI 492012048

Telephone 5177809260
Fax 5177809263
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Jackson, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Jackson, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-03-03
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301058029

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4649460 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1669427027

Doctor of Medicine (M.D.)

Stephanie Videan , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1669800975

CPNPPC

Jillian Gervais , PNP-PC

Nurse Practitioner - Pediatrics

NPI 1881097434

PNPPC

Colleen Chadderton , RNC, MSN, CPNP

Nurse Practitioner - Pediatrics

NPI 1972500536

RNC, Master of Science in Nursing, Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2020

Pediatrics (License #4301058029 in MI)

NPI Profile Active February 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2012

Registered at 760 W FRANKLIN ST, JACKSON, MI 492012048 (Tel: 5177809260)

📍
Updated Business Mailing Address February 28, 2012

Registered at 760 W FRANKLIN ST, JACKSON, MI 492012048 (Tel: 5177809260)

👤
Provider Name / Credentials Updated February 28, 2012

Recorded as JOLENE ELLIS, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2012

Pediatrics (License #5101058029 in MI)

🟢
Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255395612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2006
Last Update: March 03, 2020
Sole Proprietor: No

Mailing Address

760 W Franklin St

Jackson, MI 492012048

Phone: 5177809260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.