Jacqueline Ellis
Certified Registered Nurse Anesthetist · Grand Rapids, MI
Jacqueline Ellis is a certified registered nurse anesthetist with a practice address in Grand Rapids, Michigan, and NPI 1629596085, issued on Sep 6, 2017. Check the license (Michigan 4704360147, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacqueline Ellis
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 4704360147 MI
Self-reported in NPPES; status is on the state search - Practice location
- 3333 Evergreen Dr NE, Grand Rapids, MI 49525
- Phone
- (616) 364-4200
- Enumerated
- Sep 6, 2017
- Record last updated
- Jan 4, 2023
- Fax
- (616) 364-7347
- Medicare enrollment
- Enrolled (PECOS I20211115002125); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 3,298 in Michigan → Look up another NPI →
Also registered at 3333 Evergreen Dr NE
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Courtney Abernathy, M.D.Anesthesiology Physician1073771689
- Ashley Agerson, MDAnesthesiology Physician1265693220
- Dennis Ahmad, D.O., M.P.HAnesthesiology Physician1164650891
- Rashad Albeiruti, MDPain Medicine (Anesthesiology) Physician1346509007
- Cesar Alcid, MDAnesthesiology Physician1396714309
- Angie Andrews, MAStudent in an Organized Health Care Education/Training Program1427349570
Verify Jacqueline Ellis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 4704360147Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 89 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $14.25
1 payment: food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Saint Mary's Health ServicesGrand Rapids, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacqueline Ellis among 3,298 certified registered nurse anesthetist records in Michigan
Jacqueline Ellis is one of 3,298 certified registered nurse anesthetist records with a practice address in Michigan. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2017, is newer than 73% of them.
- NPI issued2017 · 73% of these records are older, 24% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated2014 · median 2012 among the 2,454 with a school on file
- Record last updated2023 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Certified Registered Nurse Anesthetist providers in Michigan
There are 3,298 certified registered nurse anesthetist records in Michigan.
All 3,298 in Michigan → Every provider in Grand Rapids → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Nancy Christensen, CRNAGrand Rapids, MI 495251477565562
- Donna Coppick, CRNAGrand Rapids, MI 495251457338998
- Maryann Dow, CRNAGrand Rapids, MI 495251386664720
- Teresa Fatum, CRNAGrand Rapids, MI 495251255444931
- Ryan Kamphuis, CRNAGrand Rapids, MI 495251619081544
- Joyce Kwekel, CRNAGrand Rapids, MI 495251366555187
- Ladonna Lichterman, CRNAGrand Rapids, MI 495251972616654
- William McGowan, CRNAGrand Rapids, MI 495251184636276
Common questions
What is Jacqueline Ellis's NPI number?
Jacqueline Ellis's National Provider Identifier (NPI) is 1629596085, issued on Sep 6, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Ellis located?
The NPPES record lists a practice address at 3333 Evergreen Dr NE, Grand Rapids, MI, 49525. Phone: (616) 364-4200. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Ellis's license?
NPPES lists Michigan license number 4704360147, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.
What is Jacqueline Ellis's MIPS final score?
The 2023 MIPS final score is 89 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.