Jeri L Ellis MD, Mph, PC
NPI 1538672001 · Primary Care Clinic/Center · Shawnee, OK
Jeri L Ellis MD, Mph, PC is a Primary Care Clinic/Center organization in Shawnee, OK (NPI 1538672001).
Provider details
- NPI number
- 1538672001
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Cato, Contracting Manager(405) 470-1884
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Medicine Physician207QA0505X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Other names (DBA / former)
- Doing business as
- Ellis Family Practice
Registry dates
- Enumerated
- 2017-11-07
- Last updated
- 2017-11-07
Frequently asked questions
- What is Jeri L Ellis MD, Mph, PC's NPI number?
- Jeri L Ellis MD, Mph, PC's National Provider Identifier (NPI) is 1538672001, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jeri L Ellis MD, Mph, PC?
- Jeri L Ellis MD, Mph, PC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jeri L Ellis MD, Mph, PC located?
- Jeri L Ellis MD, Mph, PC's practice location on file with NPPES is 420 N Kickapoo Ave, Shawnee, OK 74801-6643.
- What is Jeri L Ellis MD, Mph, PC's phone number?
- The practice phone number listed in the NPPES registry for Jeri L Ellis MD, Mph, PC is (400) 581-6331.
- Who is the authorized official for Jeri L Ellis MD, Mph, PC?
- The authorized official listed on Jeri L Ellis MD, Mph, PC's NPPES record is Denise Cato, Contracting Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jeri L Ellis MD, Mph, PC's NPI active?
- Yes — Jeri L Ellis MD, Mph, PC's NPI (1538672001) is active in the NPPES registry as of the last update on 2017-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.