Jacqueline Ellis
NPI 1629596085 · Certified Registered Nurse Anesthetist · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Ellis is a Certified Registered Nurse Anesthetist provider in Grand Rapids, MI (NPI 1629596085).
Provider details
- NPI number
- 1629596085
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 4704360147 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
8 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$14 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 100 Michigan St NeGrand Rapids, MI 49503-2560Phone: (616) 364-4200Fax: (616) 364-7347
Registry dates
- Enumerated
- 2017-09-06
- Last updated
- 2023-01-04
- Certified
- 2022-12-30
Frequently asked questions
- What is Jacqueline Ellis's NPI number?
- Jacqueline Ellis's National Provider Identifier (NPI) is 1629596085, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Ellis's specialty?
- Jacqueline Ellis is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Ellis located?
- Jacqueline Ellis's practice location on file with NPPES is 3333 Evergreen Dr Ne, Grand Rapids, MI 49525-9493.
- What is Jacqueline Ellis's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Ellis is (616) 364-4200.
- Does Jacqueline Ellis accept Medicare?
- Jacqueline Ellis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Ellis's NPI active?
- Yes — Jacqueline Ellis's NPI (1629596085) is active in the NPPES registry as of the last update on 2023-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.