Jason Keith Ely, - Medicare Nurse Practitioner in Gulfport, MS

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Jason Keith Ely, is a medicare enrolled "Nurse Practitioner - Family" in Gulfport, Mississippi. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cooper Family Medical Center Inc. and his current practice location is 15190 Community Rd Ste 260, Gulfport, Mississippi. You can reach out to his office (for appointments etc.) via phone at (228) 762-4483.

Jason Keith Ely is licensed to practice in Mississippi (license number 9048725) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104595396.

Contact Information

Jason Keith Ely,
15190 Community Rd Ste 260,
Gulfport, MS 39503-3471
(228) 762-4483
(228) 762-3147

Map and Direction




Provider's Profile

Full NameJason Keith Ely
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location15190 Community Rd Ste 260, Gulfport, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jason Keith Ely graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1104595396
  • Provider Enumeration Date: 09/10/2021
  • Last Update Date: 05/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082002548
  • Enrollment ID: I20211102002819

Medical Identifiers

Medical identifiers for Jason Keith Ely such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104595396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9048725 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Singing River Health SystemPascagoula, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cooper Family Medical Center Inc.28605601253

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jason Keith Ely allows following entities to bill medicare on his behalf.
Entity NameSinging River Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083893937
PECOS PAC ID: 3870405194
Enrollment ID: O20031104000435
Entity NameCommunity Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194734913
PECOS PAC ID: 8921072588
Enrollment ID: O20040820000647
Entity NameWiggins Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740293257
PECOS PAC ID: 5890737019
Enrollment ID: O20050527000428
Entity NameCooper Family Medical Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356478564
PECOS PAC ID: 2860560125
Enrollment ID: O20081014000361
Entity NameGreene County Family Medical Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689821126
PECOS PAC ID: 5991867954
Enrollment ID: O20090422000303
Entity NameOrange Grove Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831330661
PECOS PAC ID: 6103978721
Enrollment ID: O20090713000442
Entity NamePascagoula Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235442872
PECOS PAC ID: 8527241207
Enrollment ID: O20110318000278
Entity NameHancock Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295142396
PECOS PAC ID: 8022237015
Enrollment ID: O20140924002285
Entity NameGeorge Regional Er Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043690936
PECOS PAC ID: 6608180138
Enrollment ID: O20150728006195
Entity NameSinging River Gulfport
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861010159
PECOS PAC ID: 5294154829
Enrollment ID: O20201001001497

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jason Keith Ely is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jason Keith Ely,
2101 Highway 90,
Gautier, MS 39553-5340

Ph: (228) 497-7576		Jason Keith Ely,
15190 Community Rd Ste 260,
Gulfport, MS 39503-3471

Ph: (228) 762-4483

Reviews and Comments


Nurse Practitioner Nurses in Gulfport, MS

Brittany Nicole Coleman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12261 Highway 49, Suite 11, Gulfport, MS 39503
Phone: 228-575-2176    
Tracy Leigh Ladner, C.F.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Heather Lyn Jeffrey,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    
Mrs. Leigh P Drace, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 394 Courthouse Rd Ste A, Gulfport, MS 39507
Phone: 228-896-4417    Fax: 228-604-0121
Ashley Barq House, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4540 W Railroad St, Gulfport, MS 39501
Phone: 228-867-6062    Fax: 228-867-2598
Mrs. Carla Ann Rushing, AGACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    
Mrs. Michelle Wright Taylor, ACNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15190 Community Rd, Ste 220, Gulfport, MS 39503
Phone: 228-539-3356    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.