What is Jerry Ellis's NPI number?

Jerry Ellis's National Provider Identifier (NPI) is 1043754054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerry Ellis's specialty?

Jerry Ellis is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).

Where is Jerry Ellis located?

Jerry Ellis's practice location on file with NPPES is 41521 W 11 Mile Rd, Novi, MI 48375-1803.

What is Jerry Ellis's phone number?

The practice phone number listed in the NPPES registry for Jerry Ellis is (248) 299-0030.

Is Jerry Ellis's NPI active?

Yes — Jerry Ellis's NPI (1043754054) is active in the NPPES registry as of the last update on 2016-12-09.

IndividualActive

Jerry Ellis

NPI 1043754054 · Other Technician · Novi, MI

Jerry Ellis is a Other Technician provider in Novi, MI (NPI 1043754054).

Provider details

NPI number: 1043754054
Entity type: Individual
Primary specialty: Other TechnicianTechnologists, Technicians & Other Technical Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Other TechnicianPrimary247200000X
Technologists, Technicians & Other Technical Service Providers

Profile Score

Established profile(64/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

41521 W 11 Mile Rd

Novi, MI 48375-1803

Phone: (248) 299-0030

Street-level locationGet directions

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Mailing address