Doctor profile · Federal record

Dr. Jeanette Ellis, Nurse Anesthetist

Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Mount Vernon, IL

  • NPI 1184191363
  • Accepts Medicare
  • 8 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2 Good Samaritan Way Ste 205
Mount Vernon, IL 628642476
(618) 899-3869
fax (618) 899-3558
Mailing address
809 Apache Dr
Sikeston, MO 638014015

Credentials & registration

NPPES · NUCC
NPI registered
October 2018 — 8 yrs on file
Year of graduation
2018 — 8 yrs since
Specialty taxonomy
367500000X — NUCC code
State license (1)
Illinois #118890

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1184191363. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
83
Distinct HCPCS
5
Medicare allowed
$8,222
HCPCS Description Services Patients Avg allowed
00812 Anesthesia for exam of colon using an endoscope 23 23 $60
00910 Anesthesia for other procedure on urinary system through urethra 19 19 $57
00914 Anesthesia for removal of prostate including use of an endoscope 16 16 $100
01402 Anesthesia for procedure for total knee joint replacement 14 14 $157
00840 Anesthesia for other procedure on lower abdomen 11 11 $178

In context: peer comparison

Among 10 peers in Mount Vernon Certified Registered Nurse Anesthetist, average services per provider: 24. This provider delivers 3.5× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$191
Transactions
10
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Merck Sharp & Dohme LLC 4 $82.77
Pacira Pharmaceuticals Incorporated 2 $43.47
Chiesi USA, INC. 2 $36.22
Cumberland Pharmaceuticals, INC. 1 $14.63
Medline Industries Lp 1 $14.28

By nature of payment

Food and Beverage
$173
Education
$18

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Jeanette Ellis's medical specialty?
Dr. Jeanette Ellis practices Certified Registered Nurse Anesthetist in Mount Vernon, IL.
Where does Dr. Jeanette Ellis practice?
Dr. Jeanette Ellis practices at 2 Good Samaritan Way Ste 205, Mount Vernon, IL 628642476. Office phone: 6188993869.
What is Dr. Jeanette Ellis's NPI?
Dr. Jeanette Ellis's National Provider Identifier (NPI) is 1184191363, issued by NPPES.
Does Dr. Jeanette Ellis accept Medicare assignment?
Yes. Dr. Jeanette Ellis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jeanette Ellis commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for exam of colon using an endoscope (HCPCS 00812); Anesthesia for other procedure on urinary system through urethra (HCPCS 00910); Anesthesia for removal of prostate including use of an endoscope (HCPCS 00914). Source: CMS Medicare Physician & Other Practitioners file.