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Dr. Diana Hwei-Ann Jan Ellis , DDS

Dentist - General Practice • Jackson, MI

Active NPI 1255424214 Individual Practitioner Female Practitioner
Practice location in NPPES

500 N Jackson St
Jackson, MI 492011223

Call 5177485500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

500 N Jackson St

Jackson, MI 492011223

Telephone 5177485500
Fax 5177809286
Organization at the Same NPPES Address or Phone
Center For Family Health Facility NPI 1588722300

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

11 standardized 30-day fills in 2019

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$51 in 2019

The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ellis has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ellis as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Ellis are from 2019.

43 active clinicians are listed under Dentist - General Practice with a practice address in Jackson, MI (4,095 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 43 clinicians have the CMS telehealth indicator.

0% of these 43 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2019.

CMS Part D · Data Year 2019
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ibuprofen Ibuprofen 11 56 $50.83 —

Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MI DJ018840

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
744718389 (MI)
Other Identifier Bcbs Provider Number
D801057 (MI)
Other Identifier Delta Dental Provider Num
88131 (MI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20250317002053

Enrollment State Jurisdiction

MI

PECOS Control ID

0749595403

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
NPI 1649371071

Doctor of Medicine (M.D.)

Dr. Raul Andino , MD

Obstetrics & Gynecology

NPI 1033121652

Doctor of Medicine (M.D.)

Dr. Supreet Bains , MD

Family Medicine

NPI 1528554052

Doctor of Medicine (M.D.)

Dr. Mary Beljan , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1629384854

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Donna Benedict , NP

Nurse Practitioner

NPI 1558537266

Nurse Practitioner

Travis Brown , PA

Physician Assistant

NPI 1235465931

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
âś…
NPI Profile Active June 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2017

Registered at 500 N JACKSON ST, JACKSON, MI 492011223 (Tel: 5177485500)

📍
Updated Business Mailing Address June 26, 2017

Registered at 505 N JACKSON ST, JACKSON, MI 492011266 (Tel: (517) 748-5500)

👤
Provider Name / Credentials Updated June 26, 2017

Recorded as DIANA ELLIS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2017

Dentist (license number reported to NPPES: MI DJ018840)

âś…
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 09, 2007

Registered at 989 W WASHINGTON ST, SUITE 104, MARQUETTE, MI 498554064 (Tel: 9062269992)

📍
Business Mailing Address (Initial Record) July 09, 2007

Registered at 989 W WASHINGTON ST, SUITE 104, MARQUETTE, MI 498554064 (Tel: 9062269992)

👤
Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as DIANA ELLIS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (license number reported to NPPES: MI DJ018840)

🟢
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255424214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Other Dentist - General Practices in Jackson

All Dentist - General Practices in Jackson

Mailing Address

505 N Jackson St

Jackson, MI 492011266

Phone: 5177485500

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.